Joe Biden Is Shrinking the Welfare State
Because the Biden administration refuses to make a public case for keeping alive the pandemic emergency declaration that led to a huge expansion of desperately needed programs like Medicaid, millions are about to lose their health insurance.

Joe Biden speaks with the press on the South Lawn of the White House on Tuesday, March 28, 2023. (Demetrius Freeman / the Washington Post via Getty Images)
Americans alive today can consider themselves lucky, because as you read these words, you’re bearing witness to the unfolding of monumental history. No, not the transformative presidency of Rooseveltian ambition for the age of climate disaster that we’ve been promised since mid-2020, or even a Great Society–like major expansion of the often punishing US safety net. It’s the exact opposite in fact. Under President Joe Biden, Americans are currently witnessing one of the most significant contractions of the US welfare state since the Bill Clinton years.
In this case, the vehicle isn’t a radical, anti-government budget or legislation aimed at ending “welfare as we know it,” but a far more low-key strategy: Biden’s simple refusal to renew the public health emergency declaration for the coronavirus pandemic first issued three years ago.
As a result, this past Saturday marked the start of the government’s unraveling of the pandemic-driven expansion of Medicaid and the Children’s Health Insurance Program (CHIP), which saw enrollment in the programs swell 28.5 percent since February 2020 to a historic 91 million beneficiaries. Five GOP-controlled states got the ball rolling this past weekend on shunting people off the programs’ rolls, with all other states set to follow suit between May and July.