America does not have a single healthcare crisis. It has affordability, access, and safety crises. Washington has divided them by party, and each party is concentrating on only half of the problem.

Republicans focus on what healthcare costs taxpayers and on stopping fraud, waste, and abuse. That concern is legitimate. The Centers for Medicare and Medicaid Services (CMS) recently reported a record $41.9 billion in Medicare program-integrity savings in fiscal 2025. The 2025 reconciliation law also seeks large federal Medicaid savings through work requirements, more frequent eligibility reviews, and financing changes. The law’s Medicaid provisions were projected to reduce federal spending by roughly $887 billion over a decade, while increasing the number of uninsured Americans by 7.5 million in 2034. Major work requirements begin Jan. 1, 2027.