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When he called a meeting of the Marathon Committee to take into account Medicaid cuts and other critical parts of the comprehensive domestic policy, representative Brett Guthrie from Kentucky interviewed a complete listening room on Tuesday afternoon and asked for a respectful debate.

“I know that we have deep feelings in these questions, and we may not all agree on everything,” said Guthrie, a Republican who is the chairman of the House Energy and Commerce Committee in his first term.

It shouldn't be.

Minutes later, a group of demonstrators in the back of the hearing space of the Capitol Hill began to call the legislators to “keep their greedy hands of our medicaid”.

They drowned the chairman's calls for the order, and the police officers from Capitol finally removed five people – three in a wheelchair – when the dozens of legislators watched on their panel. (The Capitol police later said that officials had arrested 26 people because they were illegally protested in a congress building.)

The disorders were a rough kick -off for a meeting that continues all evening far into Wednesday – a member of the committee estimated that it could take up to 28 hours – as the Republicans and Democrats saved on the plan, an essential part of the most important legislation to fulfill President Trump's domestic agenda.

It developed as tax procurement committees to take into account a tax proposal of $ 2.5 trillion, which would extend Mr. Trump's tax cuts in 2017. Temporarily fulfill its campaign not to tax any tips or overtime payments; Roll subsidies for clean energy back; And create a new type of tax -disadvantaged investment accounts for children.

Democrats about the paths and the middle committee unsuccessfully tried to extend tax credits that helped people to take out insurance at the Obamacare marketplaces. The subsidies are to expire at the end of the year and the Congress budget office estimates that more than four million people will lose cover.

Representative Steven Horsford, Democrat of Nevada, proposed a change that would have made the additional financing permanently. He argued that the Republicans, because they used an unconventional form of accounting in their efforts to make other tax cuts permanently, should use the same approach to keep the insurance premiums affordable.

“In one breath, you cannot say that it is okay to make billionaire tax cuts, and that can be free and do not provide tax relief for working families for health care for God's will,” he said.

A third body, the House Agriculture Committee, also met on Tuesday evening and considered part of the law that would collect nutrition support to collect money for the plan.

However, the majority of the drama on Tuesday was on the energy and trade committee. In the first hour alone, the Republicans who made opening statements were repeatedly interrupted by demonstrators, which accused them of keeping health care away from people in need of protection. The GOP legislators accused the Democrats of achieving the Medicaid cuts that they propose to achieve political points.

Demonstrators who visit the budget cuts in the healthcare system against a hearing at the Capitol on Tuesday.Credit…Haiyun Jiang for the New York Times

Mr. Guthrie tried to keep control of the procedure and once guided a screaming match about whether members of his panel were allowed to use the word “lies” in their comments. (The Republicans were allowed to say that the Democrats lodge about the scope of the Medicaid cuts, but Democrats were of the statement that Mr. Trump was about his wish to protect the program. An informal agreement to simply avoid the word “lie” for the rest of the session fell apart a few hours later.))

Even some democratic senators recorded the spectacle. The senators Cory Booker from New Jersey, Brian Schatz from Hawaii and Tina Smith from Minnesota were present.

This was all until the legislature had discussed a single determination of the measure. In eight hours after the start of the hearing, the committee had not yet discussed the Medicaid cuts and instead focused on other changes to environmental and energy policy.

The proposed reduction of the medicaid cover and its expansion according to the law on affordable care has become for Democrats and a concern for republicans in need of protection, which have become careful before the political consequences of supporting cuts in insurance programs that have become popular with Americans.

Although House's Republicans shit from a huge structural revision of Medicaid, their proposal would reduce the federal expenditure by an estimated 912 billion US dollar and 8.6 million people were not insured, according to a partial analysis of the congress balance, which was distributed by Democrats in committee. Around 700 billion US dollars of cuts from changes to Medicaid and the Affordable Care Act.

The Republicans argued that their proposed cuts would contribute to controlling the increasing medicaid costs by targeting “waste, fraud and abuse” and ensuring the long-term health of the program.

“Medicaid was founded to protect the health care for Americans who could not otherwise support themselves, but the Democrats expanded the program far beyond this nuclear mission,” said Guthrie.

Your proposal requires stricter paperwork in the entire program, makes changes that influence federal financing for states, and adds Medicaid to a work request in which poor, childless adults have to demonstrate that you work 80 hours every month to remain inscribed.

This provision, which is aimed at expanding Medicaid according to the law on affordable care, would not be received until January 2029 after the next presidential election.

Democrats in the energy and trade committee stopped suitable posters with photographs of components, which they kept as the “faces of Medicaid”.Credit…Eric Lee/The New York Times

During their opening speech, the Democrats of the Committee stopped matching posters with photos of components that they considered the “faces of Medicaid”. The legislators told their stories to humanize people who rely on the program.

Representative Debbie Dingell from Michigan spoke directly to a family who had traveled to Washington in the hearing from which she said she needed Medicaid to look after a child with Down syndrome. The representative Marc Vasey from Texas kept his phone up to the microphone and invited a component to talk about how Medicaid influenced her. Mr. Guthrie has excluded this extraordinarily.

Some of the highlighted people were not at risk in the context of the Republican proposal to lose cover. And the Democrats often claim that the Republican plan would lead to 13.7 million Americans being not insured, which increases the effects of the legislation on coverage by around five million people.

The Republican legislator pointed out these discrepancies and accused Democrats of dishonest politics.

“Not a single person on these posters will be affected,” said representative Kat Cammack from Florida.

“It is unfortunate that the people of misinformation are so angry,” said the representative Gary Palmer, Republican of Alabama, and referred to a woman who was taken out by the police after shouting that she was HIV -positive and that the Medicaid cuts “will be killed me”.

When the hearing began, the hallway was full of demonstrators outside, many of whom were wearing shirts or signs with the inscription “Hands Off Medicaid”. Others wore shirts in which “Fight for Planned Parenthood” ran. The organization is aimed at providing a provision in the legislation that Medicaid would block from financing health service providers that also offer abortion services.

“Hopefully everyone understands that these demonstrations – people will feel very strong,” said representative Frank Pallone Jr., the Supreme Democrat in the committee. “Because you know that you lose your health care.”

Catie Edmondson Reported reports.

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