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updated 4/15/2011 5:03:03 PM ET 2011-04-15T21:03:03

The U.S. House of Representatives has passed a Republican budget blueprint that proposes a fundamental overhaul of the main U.S. medical program while combating out-of-control budget deficits. It would impose sharp spending cuts on social safety net programs.

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The Republican proposal passed 235-193, with every Democrat voting "no." The nonbinding plan lays out a fiscal vision to cut $6.2 trillion over 10 years from the budget submitted by President Barack Obama.

The plan put forward by Rep. Paul Ryan, the House Budget Committee chairman, stands little chance as written of even reaching a vote in the Senate, where Democrats still hold the majority. President Barack Obama probably would veto the measure, regardless.

The plan is at odds with a spending vision Obama outlined earlier this week, which foresees tax increases for high-income Americans while holding the line on those major social contract programs.

Story: Both parties helped run up US $14 trillion debt

With the 2012 presidential election campaign already under way, Obama and his Democrats are locked in an ideological confrontation with Republicans, especially a nearly 90-strong first-year class in the House of Representatives that is allied with the ultraconservative Tea Party movement.

Their victory in November, under the flag of cutting government spending and intrusion into the lives of Americans, gave Republicans control of the House. That set in place a divided government that has forced Obama to accept compromises on spending and taxation that have angered the liberal wing of his Democratic Party deeply.

The U.S. debt, in relation to the size of the American economy, has reached alarming proportions.

Republicans in particular are pounding the issue, which they say endangers the country's domestic well-being and its ability to influence world affairs. Most Democrats also accept the need to cut spending but cannot swallow what they see as the draconian Republican approach.

Story: Deficit/debt dilemma is way uglier than in the 90s

In an Associated Press interview Friday, Obama said the Republican approach would mean "We would have a fundamentally different society than we have now."

Beyond that, Obama said, "Literally, we couldn't afford to fix the roads in the country under their budget."

The House approved the Ryan plan just a day after Congress adopted legislation that cut $38.5 billion out of the national budget for the remaining 4 1/2 months of 2011. That money was cut from spending for U.S. government agencies and amounts to only about 12 percent of total government outlays.

Dramatic changes to Medicaid, Medicare
The Republican spending outline for the next fiscal year, beginning Oct. 1, calls for cuts of $5.8 trillion over 10 years. It would reduce tax rates for corporations and the wealthy, and eliminate various tax loopholes.

Video: GOP draws battle lines with budget passage (on this page)

The measure, a nonbinding blueprint that sets a theoretical framework for future legislation, also would dramatically cut Medicaid, the medical insurance program for the poor and disabled, and transform it into a grant program run by the states. It does not touch Social Security, the national pension system, or immediately cut Medicare.

It does, however, call for transforming Medicare into a system under which the government provides future retirees with vouchers to buy private insurance plans. People now 55 and over would stay in the current system, but younger people would receive the insurance subsidies. Economists say those vouchers would lose value over time because they would not keep pace with fast-rising medical costs.

Obama's plan, outlined earlier this weeks calls for cutting the federal deficit by $4 trillion over 12 years by eliminating health care fraud, raising taxes on the wealthy and paring defense spending.

Story: Obama: Cut spending, raise taxes on wealthy

He said Ryan's proposal would slash health care coverage to 50 million Americans, including grandparents needing nursing home care, children with autism and kids "with disabilities so severe that they require 24-hour care. These are the Americans we'd be telling to fend for themselves."

Medicare, Medicaid, Social Security and defense spending account for about 80 percent of the American federal budget.

Story: Congress sends $38 billion budget cut bill to Obama

Dealing with the debt ceiling
Another huge spending fight awaits this summer after the United States Treasury hits its $14.3 trillion borrowing cap on May 16. That upper limit on borrowing has been increased with little fanfare 10 times in the past decade. But House Republicans, under heavy tea party pressure, now are threatening to vote no unless the debt limit increases also includes further and deep spending cuts.

The Treasury Department has warned that failure to raise it by midsummer would drive up the cost of borrowing and destroy the economic recovery. Some economists predict even a limited U.S. default on its debt could produce global economic chaos.

In the current year, the U.S. is forecast to incur a $1.5 trillion deficit, raising total national debt to nearly $15 trillion.

Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Video: GOP draws battle lines with budget passage

  1. Closed captioning of: GOP draws battle lines with budget passage

    >>> to politics now. in washington president obama 's re- election campaign got under way last night with three separate fund-raisers in his hometown of chicago. during one of those events, a microphone he assumed was off was instead left on, and it revealed some combative remarks about the budget fight. white house correspondent savannah guthrie on the job on this friday night has that story. savannah, good evening.

    >> reporter: good evening, brian. the president's spokesman says the president is not embarrassed. there's nothing on those recordings he couldn't say publicly. but for a president that so carefully measures his word, it provided for some revealing moments. the candidate president back from a triple-header of campaign fund-raisers last night in chicago.

    >> that's what this campaign is about.

    >> reporter: taking questioning at a private fund-raiser, the president was caught on a microphone he did not know was recording, talking about last week's budget negotiations with republicans.

    >> i said, you want to repeal health care ? go at it. we'll have that debate. you're not going to be able to do that by nickel and diming me in the budget. you think we're stupid?

    >> reporter: the president also aimed fire at republican congressman paul ryan , whose 2012 budget proposal the president ripped on wednesday.

    >> this is the same guy who voted for two wars that were unpaid for, voted for the bush tax cuts that were unpaid for.

    >> reporter: on capitol hill , house republicans passed ryan's budget plan. it cut $6 trillion from the deficit over the next decade in part by raising the eligibility age of future medicare recipients. the lubudget likely won't pass the senate but republicans are taking a stand.

    >> we have a president who is unwilling to lead. we have too many politicians worried about the next election and not worried about the next generation.

    >> reporter: republicans are also drawing battle lines over a vote to raise how much the u.s. can borrow.

    >> there will be no debt limit increase unless it's accompanied by serious spending cuts and real budget reforms.

    >> reporter: in an interview with the a.p., the president wander failure to raise the limit will devastate the economy.

    >> he's absolutely right that it's not going to happen without some spending cuts. i'm confident we're going to raise the debt limit. we always have. we will do it again.

    >> reporter: well, the white house says the president still would prefer congress to raise the debt limit without putting conditions on that vote. the fear is that even the threat of a default on u.s. obligations would have severe consequences for the economy, brian.

    >> savannah guthrie at the white house for us tonight. savannah, thanks. later on we'll have something else the president said that he didn't know was being recorded.

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