Senator Joni Ernst (R-IA) is facing heavy criticism after making a controversial remark during a town hall in Des Moines, where she appeared to dismiss concerns about proposed Medicaid cuts by saying, “We all are going to die anyway.” The comment, made in response to a constituent asking about access to healthcare, has since gone viral and ignited debate across both political aisles.
What She Said—and Why It Matters
During the Q&A session, Ernst was asked whether cuts to Medicaid in the GOP’s proposed 2026 budget would leave vulnerable residents without care. Her response was met with gasps.
“I know these cuts seem difficult,” she said, “but we all are going to die anyway.”
Critics, including local healthcare advocates and political opponents, say the comment reflects a growing disregard for the impact of deep Medicaid reductions—particularly on older, disabled Americans, and low-income families.
Fallout From the Gaffe
Democrats seized on the statement almost immediately, framing it as emblematic of the Republican approach to public healthcare. Fundraising emails, protest signs, and social media campaigns have turned Ernst’s words into a rallying cry for Medicaid protection.
Meanwhile, Republicans have tried to downplay the controversy, arguing the senator was taken out of context. Ernst has since issued a brief clarification, stating she meant to highlight the need for long-term healthcare reform—not diminish the importance of Medicaid.
The Bigger Picture: Medicaid Is on the Chopping Block
At the center of this controversy is a budget proposal that would cut more than $26 billion from Medicaid in fiscal year 2026. If passed, the plan would shrink eligibility, freeze provider payments, and shift more control to states through block grants.
Healthcare experts warn the cuts could:
- Eliminate access for millions of low-income adults
- Force rural hospitals to close
- Reduce benefits for retirees and people with disabilities
Public Reaction and Polling
Polls taken in Iowa and nationally show the gaffe may have staying power. A recent flash survey found that 58% of voters viewed Ernst’s comment negatively, with 72% saying they opposed major Medicaid cuts.
Advocates are planning protests and press events in key battleground states to keep the issue front and center ahead of the 2026 midterms.
What’s Next for Ernst?
Senator Ernst is up for re-election in 2026, and Democrats in Iowa say they plan to make healthcare a top issue. With Medicaid usage high in rural Iowa, especially among older and disabled residents, any perceived disregard could prove costly at the ballot box.
Bottom Line
Ernst’s offhand remark—“We all are going to die”—has become more than just a soundbite. It’s now the centerpiece of a larger battle over the future of Medicaid, and a stark reminder that healthcare remains one of the most politically volatile issues heading into the 2026 elections.
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