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Medicaid cuts threaten rural hospitals’ survival

November 1, 2025
in Black Media
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Well being specialists and elected officers are sounding the alarm on how Medicaid cuts will influence rural communities and hospitals throughout the nation as a result of forty seventh president’s “One Massive Stunning Invoice.” The American Hospital Affiliation (AHA) projected that rural hospitals may lose almost $50 billion in Medicaid funding over the subsequent decade, forcing some to shut their doorways to group members in want. (Photograph by Nappy on Unsplash)

By Megan SaylesAFRO Employees Writermsayles@afro.com

The forty seventh president’s “One Massive Stunning Invoice” is about to slash Medicaid, a transfer specialists warn will strip hundreds of thousands of Individuals of their medical health insurance protection and drive rural hospitals—lots of which rely on Medicaid reimbursements—to shut their doorways. Based on the American Hospital Affiliation (AHA), rural hospitals stand to lose $50.4 billion in federal Medicaid funding over the subsequent decade. 

In states like Georgia, the place dozens of counties already haven’t any hospital in any respect, the cuts may weaken rural communities’ first line of protection in routine well being emergencies but additionally throughout pure disasters. 

“These hospitals usually are not simply locations to get care in a catastrophe. They’re lifelines,” stated Georgia State Rep. Bryce Berry (D-Ga.-56) throughout an Oct. 9 press name. “When roads are flooded, when energy is out and when time is the distinction between life and demise, rural hospitals are the place Georgians flip.” 

When Hurricane Helene devastated Georgia communities final September, rural hospitals have been important hubs for care and aid. Berry famous that Evans Memorial Hospital, situated in Claxton, Ga., opened a devoted intensive care unit (ICU) to deal with hurricane instances. In Hazlehurst, Ga., Berry stated Jeff Davis Hospital continued working for days with out water, treating storm-related accidents whereas affected person transport was not possible. 

The AHA initiatives $540 million in misplaced income for Georgia’s rural hospitals over the subsequent 10 years because of Medicaid cuts. In the meantime, the forty seventh president has sought to weaken the Federal Emergency Administration Company (FEMA) by eliminating $4.5 billion in emergency preparedness funds and decreasing workers, leaving communities much less geared up to deal with disasters.  

“This isn’t a coincidence,” stated Berry. “It’s a harmful one-two punch to our state, gutting catastrophe preparedness and forcing rural hospitals to shut.”

Georgia isn’t alone in going through this heightened vulnerability. Kentucky faces an identical state of affairs. The AHA estimates that the state’s rural hospitals will lose $4.01 billion in Medicaid funding over the subsequent 10 years. An evaluation from the Kentucky Heart for Financial Coverage additionally reported that the state stands to lose extra rural hospitals than another. 

Kentucky Gov. Andy Beshear has been vocal in regards to the risks Medicaid cuts pose to his state, warning that they might shatter native care and native economies.

“It will harm rural well being care in a means that we’d not be capable to get well from. Simply in Kentucky, it’s predicted to shut or threaten to shut as much as 35 rural hospitals,” stated Beshear in a put up on X. “Every of these has lots of of jobs. Every of these is the biggest or second largest employer of their group.”

Former Facilities for Medicare and Medicaid Providers Administrator Chiquita Brooks-LaSure stated the Medicaid cuts have been a political selection—not an inevitability. From her perspective, the results of the president’s spending invoice may push households, well being care programs and state budgets to their breaking factors. 

Brooks-LaSure emphasised that the 2026 midterm elections are an important alternative to reverse the harms which have been created by the laws. 

“I hope that congressional Republicans notice that this disaster that they selected to make is the fallacious selection and that hundreds of thousands of Individuals will likely be left to face the results of their selections,” stated Brooks-LaSure throughout an Oct. 9 press name. “Individuals throughout this nation deserve a well being care system that’s each reasonably priced and accessible.” 



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Tags: cutsHospitalsMedicaidRuralSurvivalThreaten
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