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The first congress member, whose Swing District includes 151,749 Medicaid recipient, is located in the energy and trade committee. The Republican budget resolutions, which is based on the foundations for comprehensive laws to introduce President Trump's domestic agenda, indicates the court of court for Medicaid, which will reduce expenses in the next decade by $ 880 billion in order to pay a large tax reduction. This number is impossible to achieve without reducing the costs of Medicaid, the government program that offers health insurance for Americans with lower incomes.

While the Republicans have difficulty in congressing to merge the nuclear pieces of what Mr. Trump calls a “large, beautiful draft law”, Mr. Evans and other GOP legislators stand out of some of the country's most competitive districts against the votes of the committee next week to approve cuts into popular programs that could pursue them politically.

And Democrats are happy in the prospect that Republican incumbent leads to the recording of the efforts.

“These congress members won with fewer votes than the number of people in their district of medicaid,” said Jesse Ferguson, an experienced democratic strategist and former spokesman for the campaign committee of the democratic congress. “It is like the captain of the Titanic and decide to deliberately meet the iceberg.”

The group includes representative Mariannette Miller-Meeks, the Republican of Iowa, who also sits in the energy and trade committee and is even more shaky than Mr. Evans, although he has held a challenger several times. Last year Ms. Miller-Meeks, who represents 132,148 Medicaid recipients, won their seat by 0.2 percent or 799 votes. Her local office in Davenport was besieged by demonstrators who are concerned about spending cuts.

The representative Thomas H. Kean Jr., a Republican from a strongly competitive district in New Jersey is also on the committee.

In the agricultural committee, which has to find 230 billion US dollars in the amount of $ 230 billion for over a decade, the Republicans promote how much they have to do from Federal Food Assistance Programs, with those from competitive seats in front of grumpy reductions that their voters could be careful. This committee also includes some of the most endangered Republicans of the house: Representative Rob Bresnahan Jr., a Republican from Pennsylvania at first; Don Bacon of Nebraska; Zach Nunn from Iowa; and Derrick van Order of Wisconsin.

Both committees are expected to meet next week to work and complete their bills, although this could change if the Republicans do not agree which cuts should be included. The panels had been planned this week, but pushed off in relation to disagreements.

“Many of them spoke privately to their leadership and told them that this is a really difficult coordination for them,” said representative Angie Craig from Minnesota, the ranking democrat in the agricultural committee, of Republicans.

Regarding her dilemma, Mr. Trump said that he does not want to “touch” Medicaid, and some right -wing extremists alert alarm alarms about cutting off the program.

“Medicaid – they have to be careful because many Magas about Medicaid,” said Stephen K. Bannon, the former consultant of Mr. Trump, recently in his podcast “War Room”. More than 60 percent of the Trump voters said that Medicaid was “very important” for their communities, according to a recent KFF survey.

While the GOP has difficulty gaining laws that can fall their right flank, the profound cuts demands without alienating them to alienate them, which are feared that they are afraid of preparing to make a hard coordination of something that will never be right.

The representative Nick Lalota, a New York Republican who opposes Medicaid's cuts, said that he and his colleagues have no interest in the difficult process of writing and coordination for a legislative template that could ultimately not exist the Senate, which has accepted a fraction of the house's expenses.

“We don't try to hover a test balloon,” said Lalota in an interview. “We just want to vote for something that is real that the Senate is passable and that the president will sign.”

Such concerns are the reason why spokesman Mike Johnson was forced this week to fall one of the most aggressive options that the GOP considered to reduce the costs for Medicaid: Lowering of the Federal Government, which pays the states to ensure adults at work that was entitled to the program by the Medicaid expansion of the Affordable Care Act.

In private, many Republicans on the Capitol Hill stated that the house would miss its self -imposed commemoration period to write and adopt the legislative template, and finally an approved package of tax cuts that contain no significant changes to medicaid, food aid or another popular program. Such a result would increase fiscal conservatives on the hard right, whoever demands that the package do not add to the deficit and who could lower the entire package if they refused to go.

Some republicans in need of protection who oppose the cut medicaid stated to find other ways to reduce the costs of the program, e.g. And they find that there are other suggestions to increase the federal revenues required to extract tax cuts.

“There are ways to lower the energy and trade budget that is not just health care,” said Lalota. “I am not so fatalistic that it is a difficult coordination.”

However, tidying up Medicaid fraud and tightening rules create far less money than the Republican plan. And the Congress's budget office wrote on Wednesday that according to estimates of the budget effects of four different options for reducing Medicaid, all of them would have the same overall result: “The enrollment would decrease and the number of people without health insurance would increase.”

The Democrats have been working on using the potential effects of the cuts for weeks.

They aimed in need of protection with advertising boards in their districts, which accused them of reducing Medicaid in order to give billionaires like Elon Musk a tax cut. The National Republican campaign committee published a cease-and-desist letter in which the companies that issue the advertising boards with defamation lawsuits threaten if they were not removed. The companies bowed to the threats, a step of which the Republicans said that the indictment of Medicaid was wrong.

“All national democrats are pathetic lies and fear master tactics to distract from their failures,” said Mike Marinella, a spokesman for the committee.

For his part, Mr. Evans tried to thread the needle by criticizing the way his state managed Medicaid, and accused that they paid millions of people and undocumented immigrants millions of dollars.

“The overall goal is to protect the program by setting fraud, spending waste and abuse,” he said last month of a public radio station in Colorado. He refused to comment on this article.

Ms. Craig said her hope that some central Republicans would permanently and simply a red line across all cuts of the supplemental Nutrition Assistance Program or Medicaid.

“The real question is whether the moderate in my committee will really put this on the mat and fight these cuts or whether they go to the cave,” said Ms. Craig.

For newcomers to the congress such as Mr. Evans and Mr. Bresnahhan, the situation has the difficult position that representative Marjorie Mezvinsky, a one -year democratic congress member from Pennsylvania, in 1993, when she voted for President Bill Clinton's budget, according to the original budget, because it was right with enough donations of cuts, was confronted because it did not contain enough expansion.

When she made the decisive vote, the Republicans knew that they were experiencing a political death.

They sang on the house floor: “Goodbye, Marjorie!”

It was defeated the following year.