Harry welcomes Howard Gleckman, Senior Fellow at the Urban-Brookings Tax Policy Center, to discuss the implications of proposed Medicaid cuts under President Trump's administration. They delve into the technical aspects and potential consequences such as reduced home health coverage, the effects on long-term care for older adults and people with disabilities, and the anticipated challenges for Medicaid-funded services and providers. The episode also covers broader issues like immigration's impact on the caregiving workforce, potential changes in Medicare, and practical advice for policymakers and baby boomers preparing for long-term care.

Topics

00:06 Medicaid Cuts and Their Impact on Elder Care

01:25 Technical Details of Medicaid Funding

04:16 Effects of Medicaid Cuts on Long-Term Care

05:36 Medicaid Home and Community-Based Services

06:55 Challenges in Nursing Home Funding

11:00 Work Requirements for Medicaid Recipients

13:42 Changes in Medicare and the Older Americans Act

20:59 Impact of Immigration Policies on Caregiving

25:17 Tax Proposals and Long-Term Care Insurance

26:49 Recommendations for Policymakers and Baby Boomers

30:30 Conclusion and Final Thoughts