Am familiar with this story and she did indeed say that "everyone dies". Well, that is an absolute fact. And she was referring to Medicaid according to the local stories I've read.
Most of you are aware that astro-turfed lefists are turning out to disrupt townhalls of conservatives in the DJT #47 term. Their "outrage" makes the news rather than the important discussions which are actually hashed out.
Senator Ernst was being flippant and likely it is being quoted out of context because the left HATES her.
Dating as far back as summer 2015 and continually since, more or less every
Trump-Said Gotcha Has been some combination of:
* Things Trump did not say;
* Pretzellated interpretations of things Trump said;
* Word or phrases ripped out of context;
* Literalizing sarcasm, metaphors or hyperbole-for-emphasis;
* Ignoring clear statements from Trump contradicting the Dems' and MSM's lying narrative.