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Speaker Mike Johnson Says Losing Medicaid Is a ‘Choice,’ Millions Choose Not to Celebrate

Republicans turn healthcare into a part-time job and call it freedom

Speaker Mike Johnson walks through Capitol hallway surrounded by aides
House Speaker Mike Johnson walks confidently with staff while promoting the controversial “One Big Beautiful Bill,” which ties Medicaid coverage to monthly work requirements.

NEED TO KNOW

  • House Speaker Mike Johnson insists Medicaid recipients “choose” to lose coverage under new work rules.
  • The “One Big Beautiful Bill” demands 80 hours a month of work, volunteering, or training for some recipients.
  • Many Republicans and voters booed the bill; critics warn it will kick millions off healthcare.

Work Requirements: Because Health Is Optional

Speaker Mike Johnson defended the new House Spending Bill on NBC’s “Meet the Press.” He claimed Medicaid recipients “choose” to lose coverage if they fail to meet work or volunteer rules. Johnson said 4.8 million people will keep Medicaid unless they decide otherwise.

“Only 20 Hours a Week” — What’s the Problem?

The bill requires able-bodied Medicaid recipients to work, volunteer, or do job training for at least 80 hours a month. Johnson called complaints about paperwork and enforcement “minor” and insisted that even young men can handle the rules.

The People Have Spoken — and They Booed

Representatives Mike Flood and Ashley Hinson faced jeers at town halls after backing the bill. Senator Joni Ernst warned attendees, “We all are going to die,” fueling the backlash against the so-called “One Big Beautiful Bill.”

Common Sense or Kafka?

Johnson dismissed worries over extra paperwork and eligibility checks. He insisted these steps build a “firm foundation” for Medicaid. Opponents say the bill adds confusing red tape designed to cut coverage.

Republican Senator Regrets Party’s Strategy

Senator Josh Hawley blasted the Medicaid cuts as “morally wrong and politically suicidal,” warning that slashing health coverage for the working poor will backfire on Republicans.

Democrats Respond With Facts, Which Is Cute

Senator Raphael Warnock pointed to studies showing the “work reporting requirement” mainly kicks people off Medicaid. He warned millions could lose vital health care due to the new rules.

The July 4 Celebration of Lost Coverage

Despite the backlash, Johnson expects the bill to pass the Senate and reach President Trump’s desk before Independence Day. He promised a “glorious celebration,” likely more for politicians than people losing care.

Quote of the Moment

4.8 million people will not lose their Medicaid unless they choose to do so

Speaker Mike Johnson

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