Republican Sen. Joni Ernst confronted quite a lot of agitated constituents at a city corridor on Friday who expressed considerations that the Republicans’ cuts to Medicaid underneath their main legislative effort to advance President Donald Trump’s agenda would trigger folks to die.
Her response: “Properly, all of us are going to die.”
Viewers members on the Butler County, Iowa, occasion raised considerations that proposed cuts to Medicaid underneath the Trump’s “huge, lovely invoice” being mulled within the Senate might threaten the lives of people who lose entry to well being care of meals advantages, just like the Supplemental Vitamin Help Program (SNAP). As Ernst defined her place on eradicating those that mustn’t qualify for Medicaid underneath the present legislation from eligibility, an viewers member may very well be heard shouting again at her, “Persons are going to die.”
Ernst quipped again, “Properly all of us are going to die,” she stated.
Ernst pushed again because the viewers reacted, explaining her place.
Senator Joni Ernst speaks throughout The Hill & Valley Discussion board 2025 at The Capitol Customer Heart, April 30, 2025.
Tasos Katopodis/Getty Photographs
“Properly, what you do not need to do is hearken to me once I say that we’re going to concentrate on those that are most weak. Those that meet the eligibility necessities for Medicaid we are going to defend. We’ll defend them,” Ernst continued. “Medicaid is extraordinarily necessary right here within the state of Iowa. Should you do not need to hear, that’s advantageous, however what I’m doing goes by means of and telling you that these that aren’t eligible, these which can be working and have the chance for advantages elsewhere, then they need to obtain these advantages elsewhere and go away these {dollars} for these which can be eligible for Medicaid.”
Medicaid advantages have develop into a key focus of negotiations on a large spending bundle that Republicans, underneath the course of Trump, are working to maneuver by means of Congress.
Home Republicans passed the “One Big Beautiful Bill Act” last week. The Home model of the invoice implements Medicaid reforms and adjustments to different packages whereas extending the Trump 2017 tax cuts and plussing up spending in areas equivalent to border safety and protection spending.
The Senate has promised modifications to the bill, a undeniable fact that Ernst pointed to repeatedly throughout her city corridor. Nonetheless, in her dwelling state, considerations about Medicaid dominated the dialogue. Issues over the invoice have led to raucous city halls lately, with crowds booing Republican Reps. Mike Flood and Ashley Hinson at town hall events earlier this week.
On Friday, Ernst addressed a constituent who recognized as a well being care employee about her considerations that the invoice would have an effect on well being care in Iowa.
“We all know the Home has their provisions for Medicaid, and I really agree with most of their provisions. Everybody says that Medicaid is being minimize, individuals are going to see their advantages minimize, that isn’t true,” Ernst stated — eliciting boos from the group.
As she continued to elucidate that she believes the invoice will strengthen Medicaid by eradicating those that have choices for different types of well being care off of this system, viewers members may very well be heard shouting “Tax the 1 percenters; they do not pay for it.”

Sen. Joni Ernst speaks throughout a listening to with the Senate Committee on Homeland Safety and Governmental Affairs on Capitol Hill, Could 20, 2025.
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Ernst’s assertion that the invoice wouldn’t minimize Medicaid was met by blowback from a constituent.
One such constituent stated that whereas many individuals on Medicaid have jobs, they don’t earn a dwelling wage. The viewers cheered as she spoke.
“That’s the reason they’re on Medicaid and that’s the reason they deserve Medicaid and the truth that you need to take that cash and route it to people who make billions of {dollars} who’ve extra money than anyone on this room collectively,” the constituent named Jen stated.
Ernst stated youngsters will proceed to get the protection they want.
“Properly I’d say, Jen, we’re not going to chop these advantages for these youngsters,” Ernst stated because the viewers audibly grumbled. “What we’re doing is ensuring that these that aren’t Medicaid eligible will not be receiving advantages.”
Ernst, who’s a member of the Senate DOGE caucus, additionally gave a protection of the work that the Division of Authorities Effectivity has executed and continues to do.
“What we’re seeing in federal authorities is the fitting sizing of the federal governments and permitting the states to take up the position that our forefathers meant,” she stated.
In response to this, a member of the viewers shouted “chaos” at Ernst.
“It could be chaos to you, however we do need to get again to a semblance of what our nation was based for,” Ernst stated. “We’re $36 trillion in debt. Each side have contributed to this. However when does it finish. When does it finish?”