In 2017, when Republicans still controlled both chambers of Congress, as well as the White House, they pushed through deep tax cuts, mainly for businesses, that were projected to add $1.5 trillion to the $20 trillion national debt over 10 years.
During a speech before the International Association of Fire Fighters on Tuesday, former Vice President Joe Biden criticized President Trump's budget and said it is asking the middle class to pay for tax breaks for millionaires and billionaires.
Senate Democrats reiterated their objections to the cuts the White House proposed this week to Medicare, Medicaid and Social Security during a budget committee hearing Wednesday.
Senate Budget Committee Chairman Mike Enzi opened a hearing on the Republican president's proposal with a broad attack on what he said was the growing, misguided view that US debt and deficits do not matter. Well, the axman cometh, and rather than increasing the budget for the agencies, he plans to chip away at them by spending $1.5 trillion less on Medicaid over the next 10 years. "Nearly a trillion dollar cut in Medicare".More news: Raiders who beat North Korea embassy staff have links to Central Intelligence Agency
"We're also finding waste, fraud, and abuse", Vought added.
The budget also calls for major reductions in spending on Medicare and Medicaid - something Trump promised not to do as a candidate in the run-up to the 2016 elections.
Democrats raised concerns about working families covered by Medicaid, Medicare and Social Security. But the budget also serves as a menu of longtime Republican visions for the program, including repealing Medicaid expansion and Obamacare subsidies and giving states a fixed sum of money, known as a block grant, instead.
"If we can reduce the regulatory state and get health care costs down, we can get the economic engine going, and then restrain spending".More news: Smugglers' paradise? No deal Brexit plans would keep the Irish border open
Russ Vought, acting director of the White House Office of Management and Budget, said in a statement the proposal "embodies fiscal responsibility" and "shows that we can return to fiscal sanity without halting our economic resurgence".
"Providers are likely to say that the proposed cuts are likely to harm patient care, especially if they think there is some possibility that Congress will adopt them", said Neuman. However, some of the reduction is from shifting Disproportionate Share Hospital and Graduate Medical Education programs from Medicare to other parts of the HHS budget.
Advocates for Medicare beneficiaries had a measured reaction to the budget. "We are heartened that President Trump's budget continues to highlight the need to address prescription drug prices", said the group.
As part of the spending-cut initiative, the administration also has identified a number of wasteful and ineffective programs, such as Job Corps.More news: Rahul Gandhi assures 33% quota for women in govt jobs
The Medicare Rights Center said "it is hard to envision a situation where these changes do not profoundly impact the lives of people who depend on the program".