The Dictatorship
What Republicans and RFK Jr. tried to hide from you about Medicaid
When Sen. John Barrasso of Wyoming asked Robert F. Kennedy Jr. about his commitment to aiding rural hospitals during Kennedy’s confirmation hearingit was one of the rare moments when both a Republican senator and President Donald Trump’s nominee to head the Department of Health and Human Services appeared to be making sense. Of Wyoming’s 33 hospitals, Barrasso said, six are at risk of closing. Kennedy agreed: “Rural hospitals are closing at an extraordinary rate right now.” He added that rural hospitals “not only provide important health care for the localities, but they are also important economic drivers.”
Which is true: In many rural areas, you’ll find that the two largest employers are the local schools and the nearest hospital. What you wouldn’t have heard — either from Kennedy or the Republicans on the committee, a number of whom brought up the importance of rural health care — was any mention of the single most important thing the federal government could do to stabilize rural hospitals: expand Medicaid. And that omission spoke volumes about how Republicans view rural Americans.
Kennedy doesn’t want to contradict his new Republican allies’ credo.
Barrasso’s Wyoming is one of 10 states that still refuses to accept the expansion of Medicaid that was part of the Affordable Care Act. The state’s GOP-controlled government prefers to leave millions of citizens without health insurance rather than allow them to receive it from the federal government. Since the ACA passed in 2010, over 150 rural hospitals have either closed completely or eliminated their inpatient services — most of them in the South, where the refusing states are concentrated. Texas, where Republicans dominate the Legislature and control every statewide office, has seen more rural hospital closures than any other state.
And even though rural Americans are more likely to rely on Medicaid than those who live elsewhere, Republicans in Washington are contemplating huge Medicaid cutspartly to pay for more tax cuts for the wealthy. A list of possible cuts from the House Budget Committee includes capping the amount that will be spent in every state and imposing work requirements on recipients, which in practice provide little more than a means of taking away people’s coverage when they fail to successfully navigate a bureaucratic obstacle course. As a recent report from Georgetown University found, “rural communities are at grave risk if substantial federal cuts are enacted.”
Kennedy won’t be doing anything to persuade the holdout states to accept the ACA’s Medicaid expansion — and, like Trump, he trash-talks the ACA as a whole. “Americans by and large do not like the Affordable Care Act,” he said in the hearing. “They don’t like Medicaid.”
On this score, Kennedy is either ignorant or lying — and either quality is alarming in someone who has been nominated to oversee these very programs. The Affordable Care Act has become extremely popular; in the latest KFF poll64% of Americans say they approve of the law. Medicaid is even more popular; 77% have favorable views of the program, and 69% say it works well for low-income people, as do 75% of those who have used it themselves. But Kennedy doesn’t want to contradict his new Republican allies’ credo that government involvement in health care is necessarily inferior to the operation of the private sector.
Nowhere is that less true, however, than in rural America. Most of the health care problems rural people face — from closing hospitals to a lack of clinics to a shortage of doctors and nurses — happen precisely because of the limitations of the free market. It’s just not as profitable to sell health care in places with small, often poorer populations spread out over large areas. These problems can only be solved by government intervention and assistance, whether it’s by paying for people’s coverage so hospitals can stay afloat or incentivizing doctors to move to rural areas.
Those Republicans all understand an important political truth: They can take the votes of their rural constituents for granted.
Then there’s the issue of vaccines. Kennedy spent much of his confirmation hearing denying that he opposes all vaccines, but the truth is that there is no single American who has done more to spread disinformation and distrust of vaccines than him — which is particularly threatening to rural health. Rural Americans were much less likely to get the Covid vaccines when they became available, which almost certainly contributed to higher rates of Covid mortality in rural areas.
There were plenty of other unsettling parts of Kennedy’s testimony. But just as, if not more disturbing was hearing one Republican senator after another speak of their passion for improving rural health care, when their party seems so determined to undermine the very programs that keep it from getting even worse.
Those Republicans all understand an important political truth: They can take the votes of their rural constituents for granted. No matter how much the Republican Party continues to make it harder for them to stay healthy, rural Americans — more specifically, rural white voters — will keep returning them to office, where these Republicans try to cut vital programs and confirm cranks like Kennedy to run important agencies.
But that’s what we’ve come to expect from a party and a president that hold the very idea of effective government in contempt. They can try to tell us how much they care about Americans’ health, but their actions show what they really believe.
The Dictatorship
Labor Secretary Lori Chavez-DeRemer is leaving Trump’s Cabinet
WASHINGTON (AP) — Labor Secretary Lori Chavez-DeRemer is out of President Donald Trump’s Cabinet, the White House said Monday, after multiple allegations of abusing her position’s power, including having an affair with a subordinate and drinking alcohol on the job.
Chavez-DeRemer is the third Trump Cabinet member to leave her post after Trump fired his embattled Homeland Security Secretary Kristi Noem in March and ousted Attorney General Pam Bondi earlier this month.
In a statement posted on social media, Chavez-DeRemer praised Trump and wrote, “I am proud that we made significant progress in advancing President Trump’s mission to bridge the gap between business and labor and always put the American worker first.”
Unlike other recent Cabinet departures, Chavez-DeRemer’s exit was announced by a White House aide, not by the president on his social media account.
“Labor Secretary Lori Chavez-DeRemer will be leaving the Administration to take a position in the private sector,” White House communications director Steven Cheung said on the social media site X. “She has done a phenomenal job in her role by protecting American workers, enacting fair labor practices, and helping Americans gain additional skills to improve their lives.”
He said Keith Sonderling, the current deputy labor secretary, would become acting labor secretary in her place. The news outlet NOTUS was the first to report Chavez-DeRemer’s resignation.
Labor chief, family members faced multiple allegations
Chavez-DeRemer’s departure follows reports that began surfacing in January that she was under a series of investigations.
A New York Times report last Wednesday revealed that the Labor Department’s inspector general was reviewing material showing Chavez-DeRemer and her top aides and family members routinely sent personal messages and requests to young staff members.
Chavez-DeRemer’s husband and father exchanged text messages with young female staff members, according to the newspaper. Some of the staffers were instructed by the secretary and her former deputy chief of staff to “pay attention” to her family, people familiar with the investigation told the Times.
Those messages were uncovered as part of a broader investigation of Chavez-DeRemer’s leadership that began after the New York Post reported in January that a complaint filed with the Labor Department’s inspector general accused Chavez-DeRemer of a relationship with the subordinate.
She also faced allegations that she drank alcohol on the job and that she tasked aides to plan official trips for primarily personal reasons.
Late Monday, on her personal X account, Chavez-DeRemer posted, “The allegations against me, my family, and my team have been peddled by high-ranked deep state actors who have been coordinating with the one-sided news media and continue to undermine President Trump’s mission.”
Both the White House and the Labor Department initially said the reports of wrongdoing were baseless. But the official denials got less full-throated as more allegations emerged — and when Chavez-DeRemer might be out of a job became something of an open question in Washington.
At least four Labor Department officials have already been forced from their jobs as the investigation progressed, including Chavez-DeRemer’s former chief of staff and deputy chief of staff, as well as a member of her security detail, with whom she was accused of having the affair, The New York Times reported.
“I think the secretary demonstrated a lot of wisdom in resigning,” Sen. John Kennedy, R-La., said Monday after her departure was made public.
She enjoyed union support — rare for a Republican
Confirmed to Trump’s Cabinet on a 67-32 vote in March 2025, Chavez-DeRemer is a former House GOP lawmaker who had represented a swing district in Oregon. She enjoyed unusual support from unions as a Republican but lost reelection in November 2024.
In her single term in Congress, Chavez-DeRemer backed legislation that would make it easier to unionize on a federal level, as well as a separate bill aimed at protecting Social Security benefits for public-sector employees.
Some prominent labor unions, including the International Brotherhood of Teamsters, backed Chavez-DeRemer, who is a daughter of a Teamster, for Labor Secretary. Trump’s decision to pick her was viewed by some political observers as a way to appeal to voters who are members of or affiliated with labor organizations.
But other powerful labor leaders were skeptical when she was tapped for the job, unconvinced that Chavez-DeRemer would pursue a union-friendly agenda as a part of the incoming GOP administration. In her Senate confirmation hearing, some senators questioned whether she would be able to uphold that reputation in an administration that fired thousands of federal employees.
She was a key figure in Trump’s deregulatory push
Aside from reports of wrongdoing in recent months, Chavez-DeRemer had been one of Trump’s more lower-profile Cabinet picks, but took key steps to advance the administration’s deregulatory agenda during her tenure.
For instance, the Labor Department last year moved to rewrite or repeal more than 60 workplace regulations it saw as obsolete. The rollbacks included minimum wage requirements for home health care workers and people with disabilities, and rules governing exposure to harmful substances and safety procedures at mines. The effort drew condemnation from union leaders and workplace safety experts.
The proposed changes also included eliminating a requirement that employers provide adequate lighting for construction sites and seat belts for agriculture workers in most employer-provided transportation.
During Chavez-DeRemer’s tenure, the Trump administration canceled millions of dollars in international grants that a Labor Department division administered to combat child labor and slave labor around the worldending their work that had helped reduce the number of child laborers worldwide by 78 million over the last two decades.
In her statement Monday, Chavez-DeRemer said, “While my time serving in the Administration comes to a conclusion, it doesn’t mean I will stop fighting for American workers.”
The Labor Department has a broad mandate as it relates to the U.S. workforce, including reporting the U.S. unemployment rate, regulating workplace health and safety standards, investigating minimum wage, child labor and overtime pay disputes, and applying laws on union organizing and unlawful terminations.
___
Associated Press writers Steven Sloan and Will Weissert in Washington and Cathy Bussewitz in New York contributed to this report.
The Dictatorship
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The Dictatorship
GOP’s Mills faces expulsion effort launched by one of his Republican colleagues
Republican Rep. Cory Mills of Florida was already dealing with multiple, overlapping scandals when a judge issued a restraining order against the congressman last fall after one of his ex-girlfriends accused him of threatening and harassing her. Soon after, Mills found that even some of his allies were keeping him at arm’s length.
In December, Rep. Byron Donalds, a fellow Florida Republican, conceded“The allegations against Cory, to me, are very troubling. I’m concerned about him. I hope he gets his stuff worked out and cleaned up, but it has to go through ethics [the Ethics Committee]. And he has to, you know, basically do that hard work to clear his name, if it can be cleared.”
Donalds, a leading gubernatorial candidate in Florida, had previously suggested he saw Mills as a possible running mate, making the comments that much more potent.
It didn’t do Mills any favors when The Washington Post published a new report a few days ago highlighting body camera footage that showed police officers in Washington, D.C., who were prepared to arrest the GOP congressman after a woman accused him of assault last year, before a lieutenant ultimately ordered them not to when she changed her account. (Mills refused to comment, except to say that the woman’s initial claim was “patently false.”)
Two days after the Post’s report reached the public, one of Mills’ Republican colleagues announced an effort to kick the congressman out of office. NBC News reported:
Rep. Nancy Mace, R-S.C., introduced a resolution Monday to expel Rep. Cory Mills, R-Fla., from Congress over accusations that include sexual misconduct.
Mills is being investigated by the House Ethics Committee in connection with allegations of ‘sexual misconduct and/or dating violence’ and campaign finance violations. He has denied any wrongdoing.
“The swamp has protected Cory Mills for far too long and we are done letting it slide,” Mace said in a statement. “We tried to censure him and strip him from his committee assignments. Both parties blocked it, but we are not backing down.”
By way of social media, the Floridian expressed confidence that he’d prevail if Mace’s resolution reached the floor, encouraging the South Carolinian to “call the vote forward.”
Time will tell whether the expulsion vote actually happens, but in the meantime, after NOTUS reported that Mills intends to respond with an expulsion resolution of his own targeting Mace, the congresswoman wrote online“Cory Mills lied about his military service, has been accused of beating women, has a restraining order against him, and has allegedly been stuffing his own pockets with federal contracts while sitting in Congress. As a survivor, I will always stand up and right the wrongs of others. He is only coming after me because he knows he’s next.”
It’s not often that Americans see members of Congress launch dueling efforts to kick each other out of office, but this is proving to be an unusually awful term.
Indeed, amid growing GOP anxieties about the upcoming midterm elections, there’s fresh evidence that the House Republican conference is both divided and unraveling.
Steve Benen is a producer for “The Rachel Maddow Show,” the editor of MaddowBlog and an MS NOW political contributor. He’s also the bestselling author of “Ministry of Truth: Democracy, Reality, and the Republicans’ War on the Recent Past.”
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