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¶ how to win Against mariannette miller-meeks
Miller-Meeks is wrong for IA-01. She voted to kick thousands of Iowans off their health insurance, to make it harder for Iowans to afford groceries, and defended Trump tariffs that jack up costs, are crushing Iowa farmers, and hurt local jobs. She backed a scheme aligned with cuts to medical research and customer service at Social Security, and she’s faced a complaint over where she actually lives and votes. Add up her votes and you get a pattern: she protects the GOP party agenda and special interests over Iowa families.
¶ former doctor miller-meeks voted for devastating health care cuts
- Miller-Meeks betrayed Iowans and her former patients by voting for a bill that is estimated to kick 17 million Americans off their health insurance, including nearly 12 million Americans who rely on Medicaid. An estimated 24,696 Iowans could lose their health insurance as a result of her vote.
- Miller-Meeks has spent a decade railing against the Affordable Care Act (ACA) and claimed she ran for congress because of its “failures.” The drop in Iowans who were uninsured was largely attributed to the expansion of public insurance plans and the ACA. An estimated 136,000 Iowans were enrolled in ACA marketplace health insurance plans.
Message: Miller-Meeks betrayed Iowans and her former patients by voting to take health care away from Iowans all to fund billionaire tax breaks.
¶ miller-meeks was in the pocket of big pharma
Miller-Meek was cozy with Big Pharma despite her claims that she was working to lower the cost of prescription drugs.
- Miller-Meeks opposed allowing the government to negotiate with pharmaceutical companies to lower the cost of prescription drugs for seniors. She sided with Big Pharma and voted against the Inflation Reduction Act, which allowed the government to negotiate lower prescription drug costs for Medicare recipients.
- Miller-Meeks accepted a $1,000 donation from insulin manufacturer Eli Lilly the same day she voted against a bill that capped the price of insulin for seniors.
- According to OpenSecrets, over the course of her congressional career, Miller-Meeks had accepted more than $347,000 in campaign contributions from the pharmaceutical/health industry and pharmaceutical manufacturing industry.
Message: Miller-Meeks sided with big pharma over cheaper prescription drug costs for Iowans.
¶ mountain dew miller-meeks voted to TAKE FOOD ASSISTANCE FROM iowans
- Miller-Meeks voted for a bill that made the largest SNAP cut in history. She defending her vote for the bill, by calling it a “once-in-a-generation victory.” More than 28,000 Iowans in her district rely on SNAP to afford groceries.
- In 2013, while she was serving as Iowa’s top public health official, Miller-Meeks made disparaging comments about Iowans who relied on food stamps, claiming without evidence that the number one item they purchased was Mountain Dew. A few months later, Miller-Meeks admitted Iowa did not keep track of the type of food Iowans bought with food stamps. She then resigned, but claimed that was unrelated to her false statements.
Message: Miller-Meeks touted her vote to take food assistance from Iowans as a “once-in-a-generation victory.”
¶ MILLER-MEEKS WAS THE DECIDING VOTE TO PROTECT TRUMP’S TARIFFS
- Miller-Meeks defended Trump’s tariffs even though an Iowa economist warned “we’re all going to be poorer.” She voted four times to protect the tariffs, including in April 2025 when she was the deciding vote to protect tariffs from being repealed by Congress, dooming Iowans who relied on her to a trade war and rising prices. Tariffs are contributing to higher food prices, higher costs for researchers, and were hurting Iowa farmers.
- As a result of Trump’s trade war, China has stopped buying Americans soybeans and instead started buying them from Brazil. China had previously been the biggest buyer of American soybeans.
Message: Higher prices, crops sitting in storage, lost income for farmers – Miller-Meeks chose Trump’s trade war over protecting affordability and Iowans’ livelihoods.
¶ MILLER-MEEKS DEFENDED ATTACKS ON SOCIAL SECURITY AND IOWA MEDICAL RESEARCH
- Miller-Meeks defended the “Department of Government Efficiency,” even joining the congressional DOGE caucus. She suggested federal government changes were only “a little bit of disruption” even though DOGE-driven cuts and downsizing were affecting the federal government’s ability to deliver services to seniors. More than 178,000 Iowans in Miller-Meeks’ district relied on Social Security benefits.
- Miller-Meeks defended the Trump administration’s cuts even though they proposed cuts to National Institutes of Health (NIH) funding that could be devastating the research conducted by the University of Iowa – research that Miller-Meeks has repeatedly touted in the past. NIH funding supported thousands of jobs and hundreds of businesses in Iowa.
Message: Miller-Meeks claimed cuts that were destroying Iowa medical research funding and seniors’ access to the Social Security Administration were just “a little bit of disruption.”
¶ miller-meeks voted against protecting iowans’ clean energy jobs
- Miller-Meeks, who has previously expressed climate skepticism, voted against protecting Iowans’ clean energy jobs. Miller-Meeks signed letters urging the Republican leadership not to repeal clean energy tax credits from the Inflation Reduction Act, then voted to repeal those credits and make them harder to access, threatening hundreds of clean energy jobs in her state.
Message: Miller-Meeks broke her promises and voted against protecting Iowans' clean energy jobs to give tax breaks to billionaires.
¶ It Took miller-meeks 11 months to vote to release the epstein files and he did only after trump gave permission
- In November 2025, after 11 months, Miller-Meeks finally voted to release the Epstein files, but only after Donald Trump gave House Republicans permission to do so. Previously, Miller-Meeks had cast the deciding vote against releasing the Epstein files, protecting the accused pedophiles named within them. Miller-Meeks never signed the discharge petition that called for their release and she never co-sponsored Reps. Thomas Massie and Ro Khanna’s resolution calling for their release.
Message: Miller-Meeks can’t be trusted to hold accused pedophiles named in the Epstein files accountable, he’ll fall in line with whatever Trump wants him to do.
¶ MILLER-MEEKS WAS ACCUSED OF VIOLATING IOWA ELECTION LAW
Miller-Meeks faced an ethics complaint over where her primary address was actually located.
- Following redistricting, in 2022, Miller-Meeks changed her voter registration from her known home in Ottumwa to Le Claire which was in the 1st congressional district. The address belonged to Republican State Senator Chris Cournoyer. She used that address to vote in the 2022 general election.
- Leading up to the 2024 election, Miller-Meeks changed her voter registration to an apartment in Davenport. The Davenport apartment building was partially managed by a group affiliated with David Barker, who served on the Iowa Board of Regents and had donated $52,900 in support of Miller-Meeks’ campaigns throughout the years. Barker claimed he was unaware Miller-Meeks was living there.
- It was reported that Miller-Meeks used her Ottumwa address on official government forms. In October 2024 it was also reported that she collected a homestead tax credit at that home during the previous two tax periods. She also reported on her 2023 and 2024 personal financial disclosures that she owed a mortgage on a personal residence in Ottumwa.
- Iowa state law required voters to register to vote at their primary address and vote in the county where they primarily resided. Bleeding Heartland reported that Miller-Meeks’ actions could have put her at risk for election misconduct or perjury, which were both Class ‘D’ felonies in Iowa.
Message: Miller-Meeks doesn’t think the rules apply to her.
¶ Hospitals at risk in IA-01
¶ Issue Back-Ups
¶ Mariannette Miller-Meeks' Policies Have hurt Everyday People
| Miller-Meeks Voted To Cut The Health Care More Than 100,000 Iowans In Her District Rely On
| Miller-Meeks Was In The Pocket Of Big Pharma
| Miller-Meeks Voted To Take Food Assistance From Iowans
| Miller-Meeks Was The Deciding Vote To Protect Trump's Tariffs That Were Crushing Iowa Farmers
| Miller-Meeks Supported Cutting Medical Research And Social Security Customer Service
| Miller-Meeks Voted Against Protecting Iowans' Clean Energy Jobs
¶ Mariannette Miller-Meeks Has Used Her Power To benefit Herself And The Powerful
| It Took Miller-Meeks 11 Months To Vote To Release The Epstein Files And She Did Only After Trump Gave Her Permission
| Miller-Meeks Was Accused Of Voter Fraud
| Miller-Meeks' Key Votes As A Member Of Congress