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Medicaid pays for the majority of long term care in the United States. And the GOP is promising to block grant (cut) Medicaid. Which is exactly what Pelosi said.
Block granting doesn’t mean “cut” if anything it means more monies to the states that place and care for these people. Irrelevant of political affiliation you will find most governors in favor of block grants because it supports the people the monies were intended to help more efficiently.