this post was submitted on 07 Sep 2025
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Critics warn the change to Medicaid will be particularly harmful to rural hospitals struggling to stay afloat.

Donald Trump’s new tax and spending law will likely force more than half the states to reduce payments to doctors and hospitals that treat Medicaid patients, a change critics warn will be particularly harmful to rural hospitals struggling to stay afloat.

Medicaid, the joint state-federal health insurance program for low-income people, reimburses doctors, hospitals and nursing facilities for treating enrollees. But in many cases, the program doesn’t fully cover the cost of care, straining providers that serve a large share of Medicaid patients.

To help providers cover losses and continue to serve poorer populations, the federal government allows the 41 states, plus the District of Columbia, that have contracted with Medicaid managed care organizations (MCOs) to run their Medicaid programs to direct them to pay providers more — in some cases, as much as commercial plans.

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[–] Azal@pawb.social 10 points 13 hours ago

Bunch of hospitals in my state getting close to shutting down, all in districts that voted heavily Trump. I feel bad for the anti-Trumpers out there... but most of the communities that are crying as they're also worried about this and losing their farms voted for him and this shitstick of a state government and my sympathy level is at the point of a Nelson laugh.

[–] Zagam@piefed.social 35 points 21 hours ago (1 children)

It's stuff like this that should remind us that it's not just a race thing. It's a class thing too.

[–] OldChicoAle@lemmy.world 20 points 19 hours ago (2 children)

It's a race thing to distract from the class thing

[–] Cosmonauticus@lemmy.world 3 points 6 hours ago

It's a race thing to distract white ppl from the class thing

Ftfy

[–] teamevil@lemmy.world 8 points 11 hours ago* (last edited 11 hours ago)

Gender thing too

Edit: too distract.

[–] AcidiclyBasicGlitch@sh.itjust.works 34 points 22 hours ago* (last edited 22 hours ago) (1 children)

Well no big deal, that just forces doctors to not hand out a bunch of fancy vanity treatments that patients don't really need. Is it ever really necessary to just give poor people healthcare before a treatable issue turns into a chronic condition or becomes an emergency?

When I was 17, I had to rush my mom to the E.R. at a hospital almost an hour away bc we thought she was having a heart attack. Luckily, it turned out it was just her gangrenous gallbladder that she'd needed to have taken out for nearly a decade, but kept putting off bc she was afraid of missing work. That sure was a stressful drive for a teenager 😅 and one expensive ER visit and hospital stay bill (which I had to try to unsuccessfully negotiate), and she had private insurance.

In cases of legitimate necessary treatment, the human body has a way of shutting itself down to let you know.

I'm glad we've made America great again 🇺🇸🙏🦅

[–] PattyMcB@lemmy.world 4 points 14 hours ago

We're great again? News to me

[–] Typhoon@lemmy.ca 75 points 1 day ago* (last edited 1 day ago) (2 children)

Literally signing a death sentence for many Americans.

[–] CharlesDarwin@lemmy.world 36 points 1 day ago (1 children)

Meanwhile, the conservatives probably still quiver in fear over Obama's "death panels".

FFS.

[–] defaultusername@lemmy.dbzer0.com 14 points 22 hours ago

The projection party at its finest.

[–] teamevil@lemmy.world 9 points 1 day ago

May they have the day they voted for?

This future sucks.... goddamn ignorance

[–] Steve@startrek.website 27 points 1 day ago

If they installed suicide booths it would cost $100. Free suicide would be woke.

[–] lectricleopard@lemmy.world 42 points 1 day ago

I imagine a disgruntled patient watching Fox News in the waiting room of the ER in the only hospital in the county, thats closing in a week, "When Trump gets around to fixing health care, it's going to be great again."

[–] Zephorah@discuss.online 30 points 1 day ago* (last edited 1 day ago)

Not a great headline, some may interpret it as limiting payments by low income people.

We knew this was going to happen, we said it loudly since the idea was presented. Hospital income is 30-60% Medicare and Medicaid payments, rural and critical access hospitals representing the majority of those on the 60% side of things.

This is why the last couple of months had seen a quiet wave of layoffs across hospitals. Anticipation.

There’s no charity aspect here, even with the so called “nonprofit” versions. They can and willcut staff to skeleton crews (in unregulated states), and even shut down, once corporate fails to achieve requisite profits. Most clinics/PCPs are owned by venture capitalists now, so those clinics can shut down too.

Expect access to medical care to decline each and every time MAGA touches Medicaid or Medicare.

[–] xxce2AAb@feddit.dk 37 points 1 day ago

How tiresomely predictable. The owners want the herd culled before the serfs become uppity.

[–] betterdeadthanreddit@lemmy.world 26 points 1 day ago (1 children)

Those poor overworked face-eating leopards are going to have a hard time keeping up with the effects of this one.

[–] tal@lemmy.today 6 points 21 hours ago* (last edited 19 hours ago)
[–] Zippygutterslug@lemmy.world 11 points 23 hours ago

Trumpgenics

[–] Sir_Kevin@lemmy.dbzer0.com 13 points 1 day ago* (last edited 13 hours ago) (1 children)

So even more hospitals will shut down because they depend on this funding.

So very great /s

[–] PattyMcB@lemmy.world 4 points 14 hours ago

So much winning /s

[–] TomMasz@lemmy.world 9 points 1 day ago

It has and always will be about the cruelty.

[–] CharlesDarwin@lemmy.world 6 points 1 day ago

I am sure a whole lot of temporarily embarrassed multi-millionaires did NOT vote Democratic...