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Iowa Republican Sen. Joni Ernst faced intense questioning from her constituents during a Friday town hall, eliciting shouts and boos from community members over her support for President Trump's contentious 

. One dismissive comment drew particularly intense ire: In response to constituents' concerns over Medicaid cuts, Ernst said, "We all are going to die."

The next day, the senator doubled down on her comments in a sarcastic apology video posted to social media. In the video, she appears to be speaking from the grounds of a cemetery. 

Her original remarks came during a town hall in Butler County, Iowa. The first speaker offered Ernst a softball question, telling the National Guard veteran that his sole request was for her to be the guest speaker at the American Legion for Memorial Day next year.

, the tenor quickly shifted. The crowd grew tense and Ernst appeared flip and defensive.

Ernst was repeatedly peppered with questions about the thousand-page bill, with many attendees focusing on proposed cuts to safety net programs like 

. Ernst defended the bill, arguing that those eliminated from these programs would be people who were not eligible to benefit from them in the first place.

"When you're arguing about illegals that are receiving Medicaid benefits, 1.4 million (people) … they are not eligible so they will be coming off," Ernst said.

Someone in the crowd shouted in response: "People are going to die."

"Well, we all are going to die," Ernst responded. "For heaven's sakes, folks," she continued with a smile.

The crowd, which had already grown hostile to Ernst's tone, erupted in roars of disapproval.

The GOP budget package is a sweeping piece of legislation that would provide massive tax cuts to the wealthy and slash funding for social programs including Medicaid and food assistance.

 in the House earlier this month — eking by with a final vote of 215-214.

But the act faces pushback in the Senate over concerns regarding some of the more consequential aspects of the legislation, 

: extending Trump's 2017 tax cuts — with about $3.8 trillion in cuts overall, largely for the nation's top earners; raising the national debt ceiling by $4 trillion; and costly fees on asylum seekers and those who sponsor unaccompanied minors.

As written, the bill is projected to add trillions to the nation's debt over the next decade.

The bill is now going through the process of 

 — a complicated Senate process that would allow Republicans to avoid a filibuster by Democratic legislators and pass the bill on a simple majority.

Back at the Iowa town hall, Ernst continued to spar with voters over her support for these changes.

In another heated exchange, a man — who identified himself as a Navy veteran and retired school superintendent — grilled Ernst about Trump's authoritarian style of governing.

"Are you afraid of Trump? Are you corrupt like Trump? Or are you just at the point that you don't care anymore and that's why you don't do anything?," the man asked to cheers. 

Her response set off another round of dissenting yells. 

"Obviously I don't agree because I don't think our country is being destroyed," she said as the crowd offered shouts in protest.

 to social media, appearing unbothered by the turn of events at the town hall. 

Thanks folks for coming out to my town hall in Parkersburg today," she wrote. "I always enjoy hearing from constituents and sharing my work to cut government red tape for you."

The next day, she appeared to stand firm in her remarks while taking a sarcastic tone a video shared to her Instagram stories.

Appearing on camera with what look like tombstones in the background, Ernst said: "I would like to take this opportunity to sincerely apologize for a statement that I made yesterday at my town hall."

"I made an incorrect assumption that everyone in the auditorium understood that yes, we are all going to perish from this Earth," she continued, adding that she's glad she didn't have to bring up the subject of the tooth fairy.

"But for those that would like to see eternal and everlasting life, I encourage you to embrace my lord and savior, Jesus Christ," she said.

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Alana Wise

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The Republican senator offered a glib response to constituent questions at a town hall regarding cuts to Medicaid under the Trump-endorsed One Big Beautiful Bill Act.

Sen. Ernst doubles down on bleak response to Medicaid grilling

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