'We’re All Gonna Die': Senator Offers Existential Shrug in Place of Medicaid Answers

May 31 2025

During a town hall meeting in Parkersburg, Iowa, Republican Senator Joni Ernst ignited controversy with her remark, “we all are going to die,” while discussing potential changes to Medicaid eligibility. The comment drew immediate shouts and groans from the audience, reflecting the tension surrounding the topic.

Ernst, who has consistently defended a tax and immigration package currently under Senate review, faced numerous constituents expressing concern over proposed Medicaid cuts. She justified the $700 billion reduction in spending, arguing it would prevent undocumented immigrants and those with employer-provided insurance from accessing Medicaid.

As the crowd reacted to her statements, one attendee shouted that people would die without coverage. Ernst responded, “People are not … well, we all are going to die,” which further fueled discontent among attendees.

“So, for heaven’s sakes. For heaven’s sakes, folks,” she added, attempting to redirect the conversation. Ernst emphasized her commitment to protecting those who meet Medicaid eligibility requirements, 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.”

The town hall occurred shortly after House Republicans passed a significant spending and tax cut package, referred to as “the big, beautiful bill,” with President Donald Trump’s backing. This legislation now heads to the Senate for further consideration.

Ernst indicated that any Senate version of the bill would differ from what the House approved. Republicans have defended new work requirements for able-bodied adults without dependents and increased eligibility verification, claiming these measures will generate savings to support vulnerable populations.

In contrast, Democrats warn that millions could lose their health coverage as a result of these changes. A preliminary estimate from the Congressional Budget Office suggests that the proposals could lead to an 8.6 million reduction in insured individuals over the next decade.

Video clips of Ernst’s comments quickly circulated among Democratic officials and candidates, intensifying scrutiny as she prepares for reelection in 2026. Ken Martin, chair of the Democratic National Committee, criticized her remarks, stating, “This morning, Joni Ernst said the quiet part out loud: Republicans do not care about whether their own constituents live or die as long as the richest few get richer.”

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