The GOP isn't just indifferent to poor, elderly, and disabled Americans, they actively want them to suffer. What else is there to conclude?

The assault on Medicaid is about to begin. GOP sources have told Politico's Jonathan Allen that House Republicans will propose $1 trillion in cuts from the program. Exactly what form those cuts will take is not entirely clear. But a trillion dollars over ten years is serious money and Capitol Hill sources are saying it will likely come from two dramatic changes: Eliminating the Medicaid expansion that takes place under the Affordable Care Act and then converting the entire program into a system of block grants.... [R]olling back the Affordable Care Act's Medicaid expansion would mean taking health insurance away from about 15 million people. That's the official, Congressional Budget Office projection of how many people will get coverage under Medicaid once the Act is fully in place. As for turning Medicaid into a block grant, here's a quick refresher on what that entails. Right now, Medicaid is an entitlement program. That means the federal government, in partnership with the states, must enroll everybody who meets the program's guidelines. In other words, if millions of additional people become eligible because, say, they lost their job-based insurance in the recession, than the feds and the states have to provide them with coverage and find some way to pay for it. And it can't be spotty coverage, either. By law, Medicaid coverage must be comprehensive. At least, that's the way it works now. If the law changes and Medicaid becomes a block grant, then every year the federal government would simply give the states a lump sum, set by a fixed formula, and let the states make the most of it.

The GOP likes to trumpet block grant programs as providing maximum flexibility for states. What this would actually do is take away states' ability to provide healthcare in economic downturns, like the one we're still in the middle of. Republican governors would be fine with that, they'd take the flexibility and make out like bandits, just as Rick Scott is doing in Florida. Who will hurt the most are the primary beneficiaries of the program, the elderly and the disabled, including millions of children.

A key element of what the GOP is doing is pure politics—starving every part of the Affordable Care Act that they can out of vengeance and ongoing pique that the law passed. The fact that they're tantrum could make millions suffer is just gravy, I guess.