All of those things are completely outside of Republican control.
The Senate Parliamentarian ruled against defunding:
- Immigrant Medicaid eligibility
- Prohibiting Medicaid and Children's health insurance (CHIP) from funding 'gender affirming care'
- Restricting certain states from increasing taxes on providers
- Limiting noncitizen immigrants from qualifying for premium tax credits or cost-sharing reductions
- Disallowing premium tax credits during periods of Medicaid ineligibility due to immigrant status
All said to take 60 votes. I know it's stupid, but this is the game. I wish Republicans would scrap the 60 vote rule, but both Democrats and Republicans fear removing the rule, so we have to play around it. It stopped Biden's team from doing a lot of damage as well.
As for the REINS act, also would take 60 votes.
Reducing the deficit is also him being obtuse, Republicans cannot even cut welfare from illegals without 60 votes, how the hell is anyone supposed to reduce the budget?
Really, the Republican defectors are just grifters bottom feeding on the corpse of America as it crashes and burns. By backstabbing their own side they hope to make a name for themselves. They aren't helping the country, nor are they fighting Democrats. Instead they fight their own side while playing off the ignorance of the public (such as yourself, but at least you are educated now with facts).