Tags: Medicaid Cuts, Healthcare Policy, Republican Lawmakers, Medi-Cal, Health Advocacy
Concerns Over Medicaid Cuts Grow Among Recipients
Tina Ewing-Wilson, a Republican voter from the Inland Empire, remembers the hardships she faced when Medicaid cuts during the Great Recession reduced her ability to afford care. She was forced to rely on live-in caregivers who abused substances and took advantage of her financially. Now, with new Republican-led proposals to reduce Medicaid spending, she fears history may repeat itself.
“If they reduce my budget, that doesn’t change the fact that I need 24-hour care,” said Ewing-Wilson, who has battled seizures and developmental disabilities her entire life. “If they cut it too much, people will die or they’ll lose their freedoms.”
California’s Vulnerable Districts Face Potential Impact
In Republican-held districts across the country, healthcare advocates are pressuring lawmakers to reconsider proposed $880 billion in Medicaid cuts. California, which has the largest Republican congressional delegation west of Texas, is seeing a coordinated effort from hospitals, consumer advocacy groups, and healthcare providers to oppose the reductions.
The proposed budget cuts could disproportionately affect rural and low-income communities, where a significant percentage of residents rely on Medi-Cal, California’s Medicaid program. In Rep. Doug LaMalfa’s district in Northern California, 43% of residents are enrolled in Medi-Cal. In Rep. Jay Obernolte’s district, which covers San Bernardino County, that number rises to 48%.
Healthcare Leaders and Activists Join Forces
Organizations such as the California Medical Association and the California Hospital Association are actively lobbying Republican lawmakers. Hospitals, health plans, and advocacy groups—often at odds on policy—are now united in urging representatives to protect Medicaid funding.
“The hospitals, the health plans—we don’t always get along,” said Dustin Corcoran, CEO of the California Medical Association. “On this, there’s not a lot of daylight. It will take strange bedfellows, for sure.”
Many GOP lawmakers have avoided public discussions on the issue, with House leadership advising members not to hold in-person town halls to prevent events from being “hijacked” by activists. Despite this, health industry leaders and community health centers are actively requesting meetings with legislators to stress the devastating consequences of the cuts.
The Consequences of Medicaid Reductions
While the budget framework does not explicitly outline Medicaid cuts, experts argue that reductions of this magnitude are nearly impossible without slashing safety net programs. If enacted, these cuts could:
- Force millions off Medi-Cal, California’s Medicaid program
- Reduce benefits for those who remain enrolled
- Lower reimbursement rates for doctors, worsening physician shortages
“We all kind of live financially on a knife’s edge,” said Jo Campbell, CEO of Hill Country Community Clinic, where half of the patients rely on Medi-Cal. If funding is cut, it could determine whether some clinics can stay open.
GOP Lawmakers Face Tough Choices
Many Republican representatives must weigh the popularity of Medicaid among their constituents against pressure from party leaders who seek to reduce government spending. More than 75% of Americans hold a favorable opinion of Medicaid, according to a recent poll.
Some GOP representatives, including David Valadao and Young Kim, have signaled they oppose major Medicaid cuts. Others, such as Ken Calvert, have stated they favor work requirements but do not support cuts for “mothers, children, disabled, and low-income Americans.”
However, most Republican House members remain silent, including Obernolte and LaMalfa, despite efforts from healthcare advocates and community members urging them to reconsider their stance.
Medicaid Cuts: A Life-or-Death Issue for Many
For families like Jenny McLelland’s in Clovis, Medi-Cal is a matter of life and death. Her 13-year-old son, who has a severe breathing disability, requires round-the-clock care. She rejects the argument that cutting coverage for undocumented residents would solve the problem, stating that it would only drive higher costs in emergency care.
“I don’t buy the argument that other people are any less deserving of care than my son,” she said.
Ewing-Wilson, who previously voted for Obernolte, has been trying to arrange a meeting with him to express her concerns.
“If he votes to cut Medicaid,” she said, “I will be very disappointed in him, because I voted for him, expecting that he would care about all of his constituents.”
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