The hard-right lawmakers are insisting on steeper spending cuts to Medicaid and the Biden-era green energy tax breaks, among other changes, before they will give their support to President Donald Trump’s “beautiful” bill. They warn the tax cuts alone would pile onto the nation’s $36 trillion debt.
The failed vote, 16-21, stalls, for now, House Speaker Mike Johnson’s push to have the package approved next week. But the Budget Committee plans to reconvene Sunday to try again. Lawmakers vowed to negotiate into the weekend as Trump is returning to Washington from the Middle East.
“Something needs to change or you’re not going to get my support,” said Rep. Chip Roy, R-Texas.
So, they want to cut Medicaid, the US subsidy for healthcare for the poor, even harder then the mainstream of the party is willing to.
https://www.semafor.com/article/05/15/2025/democrats-plot-a-midterm-comeback-fueled-by-republicans-medicaid-cuts
https://apps.npr.org/2024-election-results/west-virginia.html?section=P
Trump won every county in West Virginia.
https://www.cookpolitical.com/vote-tracker/2024/electoral-college
He had the highest percentage share of the popular vote there in any state aside from Wyoming, the other big coal state, with a 41.9 percentage point lead over Harris in the popular vote.
And we already had one term of Trump:
https://qz.com/1960354/trumps-promise-to-put-coal-miners-back-to-work-was-a-failure
https://wvmetronews.com/2025/05/01/medicaid-cuts-would-hit-wv-harder-than-most-states/
“Not only did you not get your promised coal boom, but he took your healthcare away to boot.”
EDIT: The Guardian visits McDowell County, West Virginia:
https://www.youtube.com/watch?v=eqceHviNBC4
I remember another video — don’t think it’s this one, since it’d have to be recent — with the (Democratic) county supervisor of the place saying in an interview that he’d voted for Trump in three elections now, that you never knew, maybe Trump would change things.