affordability

President Trump is promising more payments to voters just ahead of the Nov. 3 midterm elections — this time, to more than 20 million seniors, who each would get $90 to help pay for Medicare premiums.

The announcement, made late Friday night by Trump on social media, comes after he said last month about 1 million people would get rebate checks of $500 for Affordable Care Act premiums. It also comes after his One Big Beautiful Bill Act last year slashed funding for Medicare, disqualifying thousands from eligibility and raising fees for the rest, and for the ACA, raising premiums for millions by eliminating tax credits.

Trump has also promised on the campaign trail to send every American adult $5,000 if Republicans retain control of the House and Senate in the midterm elections.

His latest promise — which, like the others, would require approval from Congress — would probably cost more than $1 trillion, adding to the ballooning deficit and worsening inflation.

Polls show Americans increasingly blame Trump for the high cost of gasoline and groceries, with just 17% approving of his handling of inflation. Rising healthcare costs are also a key component of the affordability struggles many face across the country.

The president has sought to shrug off concerns about affordability, claiming the economy is booming.

The White House said the $90 payments for seniors would come from the Medicare Improvement Fund, established by Congress in 2008 as flexible funding to improve program operations and payments to healthcare providers.

As proposed, Medicare Part B enrollees would receive a one-time payment in October, either through direct deposit or by check, the White House said. Total monthly costs for the program — which covers costs like doctor’s visits, ambulance services and lab tests — start around $200 and vary with income.

To be eligible, seniors must be living in the U.S. and not be already receiving premium assistance from Medicaid or paying adjusted monthly premiums based on income, according to the Centers for Medicare and Medicaid Services. Seniors enrolled in Medicare Advantage, a private plan alternative to traditional Medicare coverage, would not be eligible for the payment. More than half of eligible Medicare beneficiaries have Medicare Advantage, according to healthcare research nonprofit KFF.

Previous administrations have not used the Medicare Improvement Fund in this way, although Congress has periodically taken out money from the fund to pay for other priorities, said Larry Levitt, KFF’s executive vice president for health policy. For example, $20.74 billion was used for the creation of the Affordable Care Act in 2010.

“The Medicare Improvement Fund language is quite broad and gives substantial discretion to the administration,” Levitt said.

Goldin writes for the Associated Press.

Xavier Becerra has made a campaign out of saying nothing. Steve Hilton will seemingly say anything to anyone as long as there’s a microphone.

Neither dynamic is promising for voters tuning into Wednesday night’s televised debate on CNN with the two candidates vying to replace Gavin Newsom as California’s new governor.

But don’t worry, Golden State voters — Times columnists Gustavo Arellano, Mark Z. Barabak and Anita Chabria are watching every minute, every second, really, to bring you the zingers, gaffes and hopefully maybe even some insights.

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Chabria: Let me start things off by saying my hope is that Hilton will push Becerra into specifics around issues including affordability, what we’re going to do about the coming Medicaid cliff, housing and education. California has been focused on raising up our most vulnerable and struggling residents for years — which is important.

But the middle class is suffering now, too, in all those areas. Hilton is right that the status quo isn’t working. That’s going to be a challenge for Becerra when he gets into office (and honestly, he could vacation in Hawaii until November and still get elected), so I’ll be looking for answers on how he plans to lift all boats.

Barabak: There will be much critiquing to come, so let me start by paying both gentleman a compliment.

Hilton has been campaigning hard, as though he has more than the merest speck of a chance of pulling an epic upset and somehow prevailing. Good for him!

And Becerra, who’s made himself exceedingly scarce, is stepping up and debating, as he should. And he’s not being cute about it, insisting on, say, a midnight appearance on local cable TV in Alturas. So props for that.

Arellano: I’m hoping that Becerra will once again channel his inner cholo, as I urged him to during the primary.

The Tío Xavier persona that Becerra supporters have trotted out — a kind, chuckling sage — isn’t what California needs right now. Becerra knows that the most loved uncles in Latino households aren’t the safe, boring ones but the ones who risked it all: the ones who came into this country without papers, who pulled themselves up by their bootstraps so that their kids could drive hybrids, and who proudly warble “El Rey” during the mariachi portion of the latest family wedding instead of sit quietly at the table.

We need the loco uncle, Xavier, not the fresa — uppity — one.

And I’m hoping Hilton will rebuke Donald Trump. I know, I know: there’s a better chance of England winning the FIFA World Cup than that ever happening.

But if there’s an iota of hope for the British expat to beat Becerra, it can only happen by him showing Californians that he’s willing to stand up to the loathed president instead of cozying up to him.

Otherwise, as a famous Brit once sang backed by sinuous xylophones, “Baby, baby, baby, you’re out of time.”