World
Republicans once maligned Medicaid. Now some see a program too big to touch
WASHINGTON (AP) — Every time a baby is born in Louisiana, where Republican House Speaker Mike Johnson handily won reelection last year, there’s more than a 60% chance taxpayers will finance the birth through Medicaid.
In Republican Rep. David Valadao ’s central California district, 6 out of 10 people use Medicaid to pay for doctor visits and emergency room trips.
And one-third of the population is covered by Medicaid in GOP Sen. Lisa Murkowski’s Alaska, one of the nation’s costliest corners for health care.
Each of these Republicans — and some of their conservative colleagues — lined up last week to defend Medicaid, in a departure from long-held GOP policies. Republicans, who already have ruled out massive cuts to Social Security and Medicare, are turning their attention to siphoning as much as $880 billion from Medicaid over the next decade to help finance $4.5 trillion in tax cuts.
But as a deadline to avoid a partial government shutdown nears, hesitation is surfacing among Washington’s Republican lawmakers — once reliable critics of lofty government social welfare programs such as Medicaid — who say that deep cuts to the health care program could prove too untenable for people back home.
“I’ve heard from countless constituents who tell me the only way they can afford health care is through programs like Medicaid,” Valadao said on the House floor. “And I will not support a final reconciliation bill that risks leaving them behind.”
And on Wednesday, President Donald Trump, too, made his position on Medicaid clear: “We’re not going to touch it.”
States and the federal government jointly pay for Medicaid, which offers nearly-free health care coverage for roughly 80 million poor and disabled Americans, including millions of children. It cost $880 billion to operate in 2023.
Johnson has ruled out two of the biggest potential cuts: paying fixed, shrunken rates to states for care and changing the calculation for the share of federal dollars that each state receives for Medicaid. Just a few years ago, Johnson spearheaded a report that lobbied for some of those changes during the first Trump administration.
Johnson insisted in a CNN interview that the focus will instead be ferreting out “fraud, waste and abuse, in Medicaid, although it’s unlikely to deliver the savings Republicans seek.
GOP pressure over Medicaid is mounting, with some state party leaders joining the calls to preserve the program. States are already struggling with the growing cost of sicker patients and could be left to cover more if the federal government pulls back. In some states, the federal government picks up over 80%.
More than a dozen Minnesota GOP lawmakers wrote the president recently warning that “too deep of a cut is unmanageable in any instance.” Gov. Joe Lombardo, R-Nev., told Congress in a letter that “proposed reductions would put lives at risk.” In Alaska, state Senate Majority Leader Cathy Giessel, a Republican and nurse, cited “huge concerns” during a floor speech.
Nationally, 55% of Americans said the government spends too little on Medicaid, according to a January poll from The Associated Press-NORC Center for Public Affairs Research.
“It’s now a very popular program that touches a very broad cross-section of American society,” said Drew Altman, president of the health care research firm KFF. “Roughly half of the American people say that they or a family member have at one time been served by the program.”
Significant changes to Medicaid are still on the table. They have to be for Republicans get the savings they need to pay for tax cuts.
Work requirements, which could save as much as $109 billion over the next decade, seem to have solid support among GOP members, with some individual Republican-led states already moving to implement them.
Republicans also could consider cuts in benefits or coverage, as well as eliminating a provider tax that states use to finance Medicaid, Altman added.
Democrats warn that reductions are inevitable and could be dire.
Starting Monday, TV ads will caution people across 20 congressional districts that hospitals are at risk of closing and millions of people could lose coverage if Republicans cut Medicaid “to fund massive tax cuts for Elon Musk and billionaires.” The Democratic super political action committee House Majority Forward has launched the seven-figure campaign.
Trump and Republicans have for years called to lower government spending on health care, but they have struggled to formulate a serious plan that gains traction. Trump, for example, has spent nearly a decade arguing for an overhaul of the Affordable Care Act. His efforts to repeal the Obama-era national health care law failed during his first term and in his most recent presidential campaign he offered only “concepts of a plan” to adapt the program.
Michael Cannon, a director of health studies at libertarian Cato Institute, believes Medicaid needs an overhaul because it is a significant part of the federal budget and a contributor to the nation’s growing debt.
But Republicans, he said, are not looking at serious ways to drive down the cost of health care.
“The only reason for the cuts right now is to pay for the tax cuts,” Cannon said. “None of them are talking about the need to do better health reform.”
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Associated Press writer Becky Bohrer in Juneau, Alaska and AP Congressional Correspondent Lisa Mascaro contributed to this report.
World
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World
Examining NATO: Inside the ‘commitment gap’ as US carries alliance deterrence
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This is part one of a series examining the challenges confronting the NATO alliance.
As President Donald Trump ramps up pressure on NATO allies to increase defense spending — and orders the withdrawal of 5,000 U.S. troops from Germany over the next six to 12 months — a deeper issue is coming into focus: even as allied budgets rise, NATO still depends heavily on American military power to function.
NATO’s imbalance is not theoretical — and it is not new, retired Lt. Gen. Keith Kellogg told Fox News Digital, “I told the president… maybe you ought to talk about a tiered relationship with NATO,” Kellogg described conversations with Trump in his first term about the alliance’s future. “…we need to develop a new, for lack of a better term, a new NATO a new defensive alignment with Europe.”
Kellogg, who served as a senior national security official during Trump’s first term, said the alliance has expanded politically but not militarily — creating what he sees as a growing gap between commitments and real capability.
NATO CHIEF SIGNALS ALLIES MAY ACT ON HORMUZ, WARNS OF ‘UNHEALTHY CODEPENDENCE’ ON US
NATO Secretary-General Mark Rutte, President Donald Trump and Britain’s Prime Minister Keir Starmer pose during the NATO Heads of State and Government summit in The Hague, Netherlands, on June 25, 2025. (Ben Stansall/Pool/Reuters)
“You started with 12, and you went to 32, and in the process, I think you diluted the impact,” he argued, calling today’s NATO “a very bloated architecture.”
“They haven’t put the money into defense. Their defense industry and defense forces have atrophied. When you look at the Brits right now, they could barely deploy forces: they have two aircraft carriers, both under maintenance. Their brigades are like one out of six that work. And you just look at the capability, it’s just not there. So I think we need to realize that and say, well, we need something different,” Kellogg, who is the co-chair of the Center for American Security at the America First Foreign Policy Institute, told Fox News Digital.
But not everyone agrees the alliance is losing relevance.
“It has never been more relevant,” said John R. Deni, a research professor at the U.S. Army War College, who says NATO remains central to U.S. national security.
“The reason for that is twofold,” he said. “One, it’s our comparative advantage versus the Chinese and the Russians… they don’t have anything like this.”
“And the second reason… NATO underwrites the security and stability of our most important trade and investment relationship,” he added, referring to economic ties between North America and Europe.
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NATO chiefs of defense hold a meeting in Brussels on Aug. 20, 2025, with screens displaying allied leaders joining remotely to discuss Ukraine. (Fox News)
Dependence: Design or Weakness?
By around 2010, the United States accounted for roughly 65% to 70% of NATO defense spending, according to analysis provided by Barak Seener from the Henry Jackson Society, a London-based think tank.
“They’ve always been dependent on the U.S.,” Kellogg said of the European allies.
“The allies overall rely upon one another for deterrence and defense by design,” Deni said, explaining that alliances exist to “pool their resources” and “aggregate their individual strengths.”
Deni pointed to ground forces as a clear example of what the U.S. gains from the alliance, noting that “there are far more allied mechanized infantry forces on the ground than there are Americans.”
Still, he acknowledged that reliance has at times gone too far.
“In the past… it was fair to say that the European allies were overly reliant upon the Americans for conventional defense,” he said, pointing to the 2000s.
That, he said, was partly driven by U.S. priorities — as Washington pushed European allies to focus on wars in Afghanistan and Iraq rather than territorial defense.
A Polish Army soldier sits in a tank as a NATO flag flies behind during the NATO Noble Jump VJTF exercises on June 18, 2015, in Zagan, Poland. (Sean Gallup/Getty Images)
Seener describes NATO as “formally collective, but functionally asymmetric,” with the U.S. providing a disproportionate share of “high-end capabilities.”
That asymmetry is most visible in nuclear deterrence.
Seener said the U.S. provides the overwhelming majority of NATO’s nuclear arsenal — including intercontinental ballistic missiles, submarine-launched systems and strategic bombers — meaning deterrence ultimately relies on the assumption of U.S. retaliation.
A NATO official told Fox News Digital that, “The U.S. nuclear deterrent cannot be replaced, but it is clear that Europe needs to step up. There’s no question. There needs to be a better balance when it comes to our defense and security. Both because we see the vital role the U.S. plays around the world and the resources that it demands, and also because it is only fair.”
“The good news,” the official added, “is that the Allies are doing exactly that. They are stepping up, working together — and with the U.S. — to ensure we collectively have what we need to deter and defend one billion people living across the Euro-Atlantic area.”
NATO LAUNCHES ARCTIC SECURITY PUSH AS TRUMP EYES GREENLAND TAKEOVER
Boeing CH-47 Chinook helicopters of the U.S. Army 12th Combat Aviation Brigade fly over a Lithuanian Vilkas infantry fighting vehicle during the Allied Spirit 25 military exercise near Hohenfels, Germany, on March 12, 2025.
The Systems NATO Cannot Replace
Beyond nuclear weapons, the dependence runs through the alliance’s operational backbone.
Seener pointed to U.S.-provided intelligence, surveillance and reconnaissance — as well as logistics and command systems — as essential to NATO operations.
“Without U.S. intelligence and surveillance, NATO loses situational awareness and early warning capabilities,” Seener said, adding, “So that means that Russia, for example, can attack Europe. And theoretically, if there’s no NATO and the U.S. is not involved, Europe would not be aware, or it would take it too long to be able to defend itself.”
Kellogg also says that much of Europe’s military capability falls short of top-tier systems.
“For the most part, their equipment, if you had to grade it A, B, C, D, E, F, they’re kind of like B players or C players,” he said. “It’s not the first line of work.”
He pointed to air and missile defense as a key gap, noting that while European countries rely on U.S.-made systems such as Patriot and THAAD, “they don’t have a system that’s comparable.”
Kellogg attributed that to years of underinvestment, saying European defense industries “have atrophied,” adding that the United States is also now “relearning that as well.”
TRUMP AFFIRMS US ‘WILL ALWAYS BE THERE FOR NATO,’ WHILE EXPRESSING DOUBTS ABOUT ALLIANCE
President Donald Trump and Poland’s President Andrzej Duda talk during a working lunch at the NATO leaders summit in Watford, Britain, on Dec. 4, 2019. (Kevin Lamarque/Reuters)
Deni said the picture today is more mixed.
“Alliance defense spending has been up… and has spiked far more after 2022,” he said, pointing to Russia’s invasion of Crimea in 2014 as a turning point.
But he cautioned that capability gains take time, noting that many improvements are still years away from full deployment.
Deni pointed to recent European purchases of U.S. systems as evidence of growing capability, noting that countries including Poland, Romania, Norway and Denmark are acquiring the F-35 fighter jet from the U.S.
“You can’t build an F-35 overnight,” he said, adding that many of these improvements will take years to fully materialize.
A NATO official told Fox News Digital the alliance “needs to move further and faster” to meet growing threats, pointing to new capability targets agreed by defense ministers in June 2025.
Keith Kellogg speaks during the Warsaw Security Forum on Sept. 30, 2025, in Poland. (Marek Antoni Iwanczuk/NurPhoto via Getty Images)
The official said priorities include air and missile defense, long-range weapons, logistics and large land forces, noting that while details remain classified, plans call for a fivefold increase in air and missile defense, “thousands more” armored vehicles and tanks, and “millions more” artillery shells. NATO also aims to double key enabling capabilities such as logistics, transportation and medical support.
The official added that allies are increasing investments in warships, aircraft, drones, long-range missiles, as well as space and cyber capabilities, while boosting readiness and modernizing command and control.
“These targets are now included in national plans,” the official said, adding that allies must demonstrate how they will meet them through sustained defense spending and capability development.
The NATO official also noted that European allies lead multinational forces across Central and Eastern Europe, while the U.S. and Canada serve as framework nations in Poland and Latvia, alongside ongoing air policing missions and NATO’s KFOR operation in Kosovo.
A Swedish Air Force JAS 39 Gripen fighter aircraft takes off from southern Sweden on April 2, 2011. (AP Photo/Scanpix/Patric Soderstrom, File)
What happens if the U.S. is stretched?
Kellogg’s warning is direct: NATO’s deterrence depends on U.S. presence.
“The one you always have to worry about… is Russia,” Kellogg, who was Trump’s special envoy for Ukraine and Russia in 2025, said.
If U.S. forces are tied down elsewhere, NATO could face serious strain — particularly in areas like intelligence and logistics.
For Kellogg, the danger is delay. “We won’t know until it happens,” he said. “And then you won’t be able to respond to it.”
Deni, however, said the alliance remains a strategic asset — not a liability.
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A NATO military force stands guard outside the World Forum in The Hague ahead of the two-day NATO summit on June 22, 2025. (Remko de Waal/ANP/AFP)
The question, he suggests, is not whether NATO still works. It is whether allies can adapt fast enough to keep it working.
World
'No strategy' behind Trump's withdrawal of NATO troops from Germany, sources say
Trump did not warn allies prior to his abrupt announcement of the withdrawal of 5,000 active-duty troops from Germany. The sudden move came amid an ongoing feud with German Chancellor Friedrich Merz, sparked by his criticism of the US’ war in Iran, and Washington’s strategy.
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