mr. chairman , i thank our ranking member for yielding me this time .  this is a bad budget .  the very safety net that we hoped to help american families is being shredded .  the republican budget is wrong ; and the prescription is wrong for medicaid , over 52 million children , women , elderly , seniors , disabled individuals , 52 million in america .  the largest health care program and the only health care program for many .  the committee on energy and commerce has been instructed to cut $ 20 billion from the medicaid health care program for so many vulnerable citizens .  medicaid pays for 70 percent of nursing home care in michigan .  sixty-four percent of the costs are spent on the elderly and disabled .  do we really want to hurt the least of these who have built this country ?  this republican budget cuts medicaid even more than what the president sent to congress .  we can do better .  i just left a meeting with my governor in our michigan delegation , both democrats and republicans .  unfortunately , the republicans wanted to blame our governor for medicaid , and they said cut medicaid back .  when one is unemployed , when they have no health care , when jobs are being lost , unfortunately they need medicaid .  and it is unfortunate that this budget does not restore medicaid , help the most vulnerable , and not ask for $ 20 billion cut for the elderly , for seniors , for the disabled .  the budget is bad .  it kills medicaid .  we can do better .  