At a town hall in Parkersburg, Iowa, Republican Senator Joni Ernst faced an intense reaction from constituents when she made the statement, “we all are going to die,” while discussing potential changes to Medicaid eligibility. The meeting, held at a local high school, was marked by tension as she defended a recently passed tax and immigration package. This legislation, which has already cleared the House and is now under Senate consideration, has raised concerns among many attendees about possible cuts to essential programs like Medicaid.
Throughout the forum, Ernst aimed to justify the proposed $700 billion reduction in spending. She argued this measure is designed to streamline Medicaid by limiting access for undocumented immigrants and others who receive employer-sponsored insurance, asserting it would ultimately protect the most vulnerable populations. However, her assertions were met with skepticism and outrage from the audience, especially when it was pointed out that the changes could severely impact those dependent on Medicaid for healthcare.
As the discussion progressed, Ernst’s comment about mortality drew groans from the crowd, further intensifying an already charged atmosphere. In response, she sought to clarify her position by stating, “What you don’t want to do is listen to me when I say that we are going to focus on those that are most vulnerable.” Ernst emphasized her commitment to protecting Medicaid beneficiaries who meet eligibility criteria, though many in attendance remained unconvinced.
Last week, House Republicans successfully pushed through a substantial spending and tax cut package, dubbed “the big, beautiful bill,” supported by President Donald Trump. The measure’s fate now lies with the Senate, where Ernst indicated significant alterations are expected to occur. Republicans believe that implementing stricter work requirements for able-bodied adults without dependents, along with enhanced eligibility verification, will lead to savings that can be redirected to those genuinely in need.
Democratic leaders have sharply criticized these proposals, arguing that they will result in millions losing their health coverage. A preliminary estimate from the nonpartisan Congressional Budget Office highlights this concern, predicting that approximately 8.6 million people may become uninsured over the next decade due to the proposed changes. This alarming statistic further fuels opposition to the changes Ernst and her colleagues are advocating.
In the aftermath of her controversial remarks, video clips of Ernst’s comments circulated widely, igniting discussions among Democratic officials and candidates. Democratic National Committee chair Ken Martin condemned her remarks, suggesting they reveal a disregard for constituents’ well-being in favor of preserving the wealth of the richest citizens. With Ernst up for re-election in 2026, her comments and the broader implications of the proposed Medicaid changes will likely be focal points in upcoming political debates.
