Senator Joni Ernst of Iowa dismisses the potential consequences of Medicaid reductions with a flippant remark suggesting “we’re all going to die,” a stance that starkly contrasts with public opinion.

Senator Joni Ernst (R-Iowa) attends a Senate Armed Services Committee confirmation hearing on Tuesday, May 13, 2025.
(Tom Williams / CQ-Roll Call, Inc via Getty Images)
Political Dynamics and Public Perception
Democratic Congressman Mark Pocan of Wisconsin, recognized as one of Congress’s most astute strategists, has been advocating for months that exposing Republican lawmakers’ blatant indifference could be a powerful tool to shift political momentum. “When they show up at town halls, which is rarely, they reveal their true, out-of-touch nature,” Pocan explains. Since February, he has collaborated with grassroots organizations to pressure GOP representatives and senators to hold more town hall meetings, aiming to highlight their disconnect from constituents.
Pocan’s approach isn’t about trapping Republicans in unfair scenarios but rather about allowing them to reveal their authentic selves. His reasoning is that when voters witness the blatant cruelty and cynicism of some GOP members-such as advocating for deep cuts to social safety nets-they begin questioning whether these politicians truly represent their interests. If these representatives persist in defending harmful policies, like slashing Medicaid or privatizing Social Security, it could ignite a broader debate about the GOP’s priorities-particularly their focus on tax cuts for the wealthy at the expense of everyday Americans. Could this discourse influence the 2026 midterm elections? Might it lead to a significant shift in control of the House or even the Senate? Pocan is confident: “If they continue defending Medicaid cuts, they’re only hurting their own chances.”
Recent Incidents Highlighting GOP Disconnect
Last week, a notable example emerged when prominent Republicans, aware of the electoral risks posed by their own rhetoric, largely avoided engaging with local voters. Most preferred to steer clear of town halls where questions could expose their true positions. However, Iowa Senator Joni Ernst chose to confront the challenge head-on by participating in a town hall in Butler County, a predominantly Republican area. The outcome was a public relations disaster: her dismissive comments about Medicaid and her flippant attitude toward constituents’ concerns quickly went viral, sparking widespread criticism.
During the session, Ernst dismissed worries about Medicaid cuts-part of a broader GOP effort to fund tax breaks for billionaires-by sarcastically telling attendees they were “going to die” anyway. She also mocked concerns about illegal immigrants receiving benefits, claiming, “We don’t need to see illegal immigrants getting benefits,” and insisted her focus was on “those who are most vulnerable.” Her casual dismissal of serious health and social issues shocked many, with headlines condemning her tone-deafness and insensitivity.
National Repercussions and Political Fallout
Ernst’s comments drew swift rebukes from Democrats and media outlets across Iowa, with many viewing her dismissive attitude as emblematic of a broader Republican strategy to ignore or belittle voter concerns. While some speculated she might issue a formal apology to repair her image, Ernst instead released a video filmed in what appeared to be a cemetery, further mocking her critics by suggesting that Iowans who worry about GOP threats to social programs are naive-comparing their fears to fairy tales.
This incident transcended local politics, becoming a symbol of the disconnect between Republican rhetoric and the realities faced by ordinary Americans. It also served as a stark reminder of how such public missteps can influence electoral prospects. In Iowa, a state that has historically swung between Republican and Democratic control, the incident has intensified scrutiny of Ernst’s re-election campaign, which is now seen as more vulnerable than before.
Implications for Future Elections
Political analysts note that Ernst’s outburst has opened a window of opportunity for Democrats. With her approval ratings potentially damaged, figures like Nathan Narrative, a veteran Iowa sports broadcaster and Democrat, have publicly declared that Ernst’s political career is at risk. Over the weekend, Narrative and other Democrats have been invited onto national cable programs to critique her stance, while J.D. Scholten, a well-known Democratic candidate in Iowa, announced plans to challenge Ernst in 2026, emphasizing that “cutting Medicaid and SNAP benefits to fund tax breaks for billionaires is not what Iowans want.”
Scholten’s stance echoes a broader Democratic message: that the GOP’s priorities are out of touch with the needs of everyday Americans. “We shouldn’t have to choose between our health and the wealth of the ultra-rich,” he asserts, framing the debate around fairness and the moral obligation to protect social safety nets.
Broader Political Context and Strategic Considerations
National Democrats see Ernst’s recent controversy as a potential catalyst for flipping the Senate majority in 2026. The incident has been widely covered in the media, with headlines like the Des Moines Register’s front-page story emphasizing the political damage caused by her remarks. Such headlines are more impactful than any campaign ad, as they shape voter perceptions and influence electoral decisions.
In the high-stakes environment of U.S. politics, a single headline can define a candidate’s future. Ernst’s “we’re all going to die” comment has become a rallying cry for Democrats, illustrating the stark contrast between her dismissiveness and the genuine concerns of her constituents. Her subsequent “apology” only deepened the controversy, as critics argued it was insincere and further alienated voters.
Conclusion: The Power of Public Perception
Ultimately, Ernst’s town hall fiasco underscores a fundamental truth in American politics: elected officials are expected to prioritize the well-being of their constituents. When they fail to do so, especially in a manner perceived as callous or dismissive, it can have lasting electoral consequences. As the 2026 elections approach, the incident serves as a reminder that voters are increasingly scrutinizing the sincerity and empathy of their representatives-traits that can determine the future balance of power in Congress.
John Nichols
John Nichols is a national affairs correspondent for The Nation. He has authored, coauthored, or edited over a dozen books on topics ranging from American socialism and Democratic Party history to media strategies in the U.S. and globally. His latest work, co-written with Senator Bernie Sanders, is the bestseller It’s OK to Be Offended About Capitalism.