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Spoke with someone who works with a public hospital system. His assessment of the effects of the GOP spending bill: “I think this is going to be a very apparent catastrophe, very quickly.”

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Not to mention health insurance premiums will rise dramatically…grandparents will be tossed from care institutions and we all will be sicker poorer more hungry and miserable

Hospitals plan budgeting in multi year stretches, and knowing that your overall revenue will shrink over the next 5 years without any expected replacement means layoffs, service cuts and closures. Everyone is gonna get hurt but red states will suffer even more without intervention which is unlikely.

And even the really rich forget that when a hospital collapses there's no place for them, either. (You haven't lived till you've needed emergency treatment for a colon issue when staffers are overwhelmed in a pandemic...)

Or your mother has a stroke just as lockdown is happening, and you say goodbye to her knowing you may not get to hug her again ever. (Thank God it was a few months, and she was on the ground floor of her stroke rehab, I visited her through the window.)

Look at what happened in KS under Brownback. His refusal to expand Medicaid led to the closing of several rural hospitals, job losses, greater strain on the healthcare system in general, & of course worse health outcomes for those who relied on those hospitals. Repugs' bill will be that on steroids.

I keep hearing that this is going to have immediate effects, like that hospital closing in Nebraska right away. But then I hear people say that the Medicaid cuts don't come until after the midterms, not until the end of 2026. Can anyone reconcile these two claims?

We’re going back pre ACA and Biden’s expansion of Medicaid when hospitals treat people in emergency rooms because they can’t access preventative and regular care. And we all end up paying for it with higher insurance when medical costs go thru the roof It is inhumane and unjust

We need to start hearing from therapists who handle clients who have committed atrocities. They're all in now. After COVID, Jan 6, snatching immigrants... there is just clearly no way back for a person's sense that they are a good person. It's like they've been ethically blackmailed.

A lot of the cuts are delayed until after the midterms so Republicans can hide the ball. Some are placed entirely after the presidential term. Maybe it works. But providers with options can do math and will want to move BEFORE the local clinic shutters when the resume flood gets bad. We'll see.

Hospitals operationalize Medicaid funding far into the future, both on credit lines and in general planning. All expansion work will cease, and budgets will need to be cut now in order to match operational realities.

We have seen this movie before. Prior to the ACA, many rural hospitals failed or were non-existent. Urban hospitals saw most of the poor in the ERs and most accounts were not paid. It will take a couple years, so the GOP are hoping to simply blame all the effects on Dems in office then.

The GOP and Trump are at war with America. They are a terrorist entity bent on taking and maintain power for their own personal benefits. Autocratic theocracy funded by right wing oligarchs. No interest in the betterment of the masses. The masses are slave labor for the lowest price.

bsky.app/profile/publ... ”I used to work on rural health policy for the govt, you need to understand—medicaid cuts in this bill will have devestating impacts on urban/suburban access to health care. Medicaid $ already keep a lot of ERs, hospitals, pediatrician's offices, & clinics afloat.”

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But people will make decisions today based on those upcoming cuts so premiums will rise, there will be layoffs and closures before the worst of it because for profit systems can do math, unlike the “businessmen” in the GOP and they’re not waiting to lose everything. They will stop the bleed.

I'm genuinely baffled by this. Are they dumb? These Republicans voting for this? Or are they not afraid of future elections? I mean, it's absolutely nuts to try to do what they are trying to do. Even for sociopaths.

I hate, hate, hate that this will happen, but I hope he is right that it will happen quickly, before the midterms, so people might finally see the harm Republicans are doing anD VOTE THEM OUT!

Mass strike. We need to walk off our jobs and out of stores and don’t shop online and let’s fucking go! Walk. Jesus did it. He said drop that shit let’s go! When change is due, we need to collect. If we stop feeding these beasts, we can make America halt. Only WE CAN DO IT. Those of us that can must

Absolutely. When ppl cannot get the care they need to stay (or become) healthy, which is currently covered by Medicaid, they'll show up at hospitals for care to keep them from dying. Hospitals will provide care for them with no payment systems in place. The writing is on the wall. The cruelty.

Beware! The cruel, vile and corrupt Republicans in Congress voted to decimate and destroy Medicaid, the ACA, social programs and the economic safety net in order to give massive tax cuts to the selfish wealthy and greedy corporations. Shameful and heinous! They must be stopped! Vote them all out! 🖕

I have 4 rural hospitals around me. We don't have a major hospital within 90 miles. I hope all these wonderful magas around here enjoy what's about to happen. I, myself, plan to use the ERs like my personal gp after I lose Medicaid.

Sadly, it needs to be fast..we need the GOP and those voters to turn..I worry that the impact will be delayed and they’ll skate. We have a short attention span and delayed result means obfuscated blame.

cannot find a single news article that documents the timelines of the provisions in this bill. are the worst effects (medicare/medicaid cuts) happening immediately?

Provider tax is immediate but cuts are phased in through 2030. But that doesn't matter b.c. hospitals are collateralizing their debt based on projected Medicaid reimbursement going out 10yrs. The debt will be called in & hospitals will collapse immediately even with cuts several years away.

Who is actually writing these bills? Which nonprofit? Heritage Foundation? There is no analysis of the cascading impact of less US dollars spent on healthcare facilities including rural hospitals and nutritional programs which help local farmers. ???Less tax revenues

Have you noticed that everyone is accountable except Conservatives? Like seriously, you can’t be a Democrat and sh*t the bed and have a political career. A Republican can have 35 felony convictions and a charity closed down for fraud and be elected POTUS. You can storm the capital and get a pardon.

Every single person, and every single state will be affected by what these Russian Republicans in the House and Senate have done for decades,all to give the TACO GESTAPO and the millionaires and billionaires something that they don’t really need. Stop voting for these Russian Republican KOCHSUCKERS

At this point, that is the best case scenario. The Republican goal is to kill as many people as possible. The more obvious that is before the midterms, the better.

I fear it will be a slow rolling catastrophe. The medicaid cuts are over a 10 year period, so voters (even current medicaid recipients and their families) might not be effected until after the mid-terms, no?

Most hospitals have been collateralizing all of their debt with the promise of Medicaid reimbursement levels staying relatively stable. Those debts will be called in immediately and hospitals will collapse overnight even with the cuts several years away.

The cuts aren't immediate, but hospitals are collateralizing their debt based on Medicaid being stable for a 10yr projection. Their collateral goes poof and their debt gets called in immediately even though the cuts don't happen for several years. Hospital collapses will happen within wks of passage

Seen ads on Hulu straight up lie abt the Bill saying 47’s tax cuts help small businesses & not passing this bill would cripple them So this bill gives huge tax breaks to all businesses. Great Now who is going to be able to buy anything w the heavy tax burden on the middle class & Trump Inflation?

I find it very hard to sympathize. Republicans have made clear they want to kill social programs since they were instituted. Yet people keep voting or them or sitting it out.

If that is the case, the bill is giving the health insurance companies 2 years to increase their monthly premiums so they can increase their payments to the hospital systems, who now will have 2 years to increase their rates. Next the gov't will unlaw treatments @ ERs without insurance.

On X it is obvious that vocal MAGA still support their leader. Nothing he's done so far has apparently touched them where it hurts. They still think he has a grand plan that will make their lives better. No counterarguments permeate their dreamworld.