Rural America relies on foreign doctors. Trump’s visa fee shuts them out. The Trump administration’s demand for companies to pay a $100,000 fee to hire an immigrant worker using an H1B visa has created turmoil among rural health providers.

Trump jacking up fees for H-1B visas has caused a crisis in rural health care as much of rural America relies on foreign doctors.
wapo.st/4rQFGlZ

“Crapocare” does seem particularly fitting.

Grim new analysis from KFF: The administration's move to re-adopt the public charge rule could have a chilling effect that leads to several million people dropping Medicaid coverage — including tens of thousands of citizen children

www.kff.org/medicaid/pot...

Plucky New Mexico's been knocking it out of the park lately--first offering no-cost universal child care (which started last month)--and now this!

NOT ONLY is New Mexico backfilling 100% of expiring federal #ACA tax credits for ALL enrollees UNDER 400% FPL...

NOT ONLY are they backfilling them for enrollees OVER 400% FPL...

But they're even backfilling it for documented immigrants under 100% FPL who are about to lose eligibility as well!

New Mexico's amazing emergency ACA policies take it ANOTHER step further... Back in October, I noted that the New Mexico Insurance Superintendent--in the midst of dropping some very bad news about the upcoming 36% average premium increases for New Mexico ACA policies--include...

🎉 NEW MEXICO's amazing emergency #ACA policies take it ANOTHER step further!

acasignups.net/25/12/02/new...

I was told we were shifting to affordability now?

In which U.S. Senator Markwayne Mullin repeatedly proves he doesn't know WTF he's talking about In my post about the U.S. Senate vote to end the federal government shutdown last week, I concluded that: I'll have a lot more to say about this "HSAs for All" silliness which Trump & Sen. Cassidy are...

In which I go off on a bit of a rant.

acasignups.net/25/11/19/whi...

In a U.S. First, New Mexico Opens Doors to Free Child Care for All The state aims to give children a better start, but faces supply and staffing concerns.

In a U.S. First, New Mexico Opens Doors to Free Child Care for All
www.wsj.com/us-news/in-a...

New Mexico funding set to blunt impact of federal health subsidy expiration New Mexicans with insurance through the ACA, also known as "Obamacare," could be in large part spared from soaring costs because the state is spending millions to backfill the federal

New Mexico isn’t going to let premiums skyrocket for working families. We are tapping the state’s Health Care Affordability Fund to keep people covered, despite federal cuts. www.santafenewmexican.com/news/local_n...

In the debate over extending the enhanced ACA Marketplace tax credits, there has been no discussion of their benefit for children's coverage. The enhanced credits helped increase child Marketplace enrollment (under age 18) by 2.5X to 2.6 million between 2020 & 2025 (based on open enrollment data).

Elsie, by Colin Baillio track by Colin Baillio

I wrote a song about the woman who raised my dad. She was a black woman in the American South and shaped him into the good man he is. Hope you might listen. colinbaillio.bandcamp.com/track/elsie

It's so funny how these guys say "import the third world, become the third world" and then their own policy preferences end up converging with the taliban

Harvard sociologist/polisci Theda Skocpol explains how the vast expansion of ICE in BBB may be Trump's secret weapon to overcome the barriers of federalism and complete his autocratic takeover of the American state. (History from Germany & Hungary in 20s/30s.) talkingpointsmemo.com/edblog/criti...

As of a couple weeks ago, fewer than one in ten people knew there were Medicaid cuts in this bill.

Folks are in for a very rude surprise.

priorities.org/news-and-pre...

Pretty damn awful

New @urbaninstitute.bsky.social analysis finds that rural hospitals will be hit by $119B/10 years with #Medicaid cuts and expiration of the enhanced ACA tax credits: $87B in reduced revenues + $23B in higher uncompensated care costs: www.urban.org/urban-wire/r...

Put simply:

8 - 12 million of the 24 million ACA exchange enrollees will be priced completely out of coverage.

The other 12 - 16 million will have to pay through the nose to keep theirs, in most cases having to downgrade to a worse plan while still paying far more.

acasignups.net/ira-subsidy-...

How the GOP spending bill now before the Senate would impact Medicaid NPR's Michel Martin speaks with Adrianna McIntyre, assistant professor of health policy and politics at Harvard, about how the GOP spending bill before the Senate would impact Medicaid.

Was glad to have the opportunity to join Morning Edition today — despite being, emphatically, not a morning person — to chat about the looming cuts to Medicaid. (Tough to hit all of the essential points in five minutes, though.)

I really don’t think most Americans know we are only days aways from millions losing their health insurance in the biggest cut to Medicaid in history, plus millions losing food assistance in the biggest cut to SNAP in history.

The next few days are crucial for fighting the “big beautiful bill.”

!!!

You can’t give rural hospitals $15 billion if you put them all out of business.

How Trump Killed the GOP’s Love of States’ Rights From immigration to education to Medicaid, the new strategy is to impose a MAGA vision on America—whether or not states like it.

Among the many hidden features of the GOP health care cuts:

On work requirements, marketplace operations, the bill would limit state flexibility

Unless states wanted to make it *harder* for people to get insurance, in which case they'd get the green light www.thebulwark.com/p/how-trump-...

KFF Health Tracking Poll: ACA Enhanced Subsidies | KFF KFF's Health Tracking Poll looks at public awareness and support for ACA Marketplace subsidies and finds that most adults are unaware the subsidies are set to expire soon. Three in four say Congress s...

Most Americans (including MAGA/Republicans and people who don't use the Marketplaces) support the idea of Congress extending the Marketplace subsidy enhancements that are set to expire at the end of this year. www.kff.org/affordable-c... But Congress hasn't done anything to address this.

Because when you’re raising high schoolers, you have plenty of time to fill out meaningless paperwork every month so that you don’t lose access to health care.

A pregnant U.S. citizen went to the hospital after immigration agents detained her Cary López Alvarado, who's nine months pregnant, said that after being released from immigration custody she experienced sharp stomach pains and was hospitalized.

Enraging www.nbcnews.com/news/latino/...

New figures from CBO about how Americans at different income levels are affected by the GOP's Big Beautiful Bill.
Topline finding: Richest decile gets about 2% richer. Poorest decile gets about 4% poorer.
www.cbo.gov/publication/...

Most adults with opioid use disorder on #Medicaid qualify through the expansion pathway and would be subject to work requirements or need to verify an exemption. www.kff.org/medicaid/iss...

There are exemptions from the Medicaid work requirement Republicans are advancing, such as having a substance use disorder. But, an under-appreciated nuance is that people would have to demonstrate that they qualify.

Make American Health Care Affordable Again This JAMA Forum discusses the cost of health care in the US for individuals covered by commercial insurance and for those covered by Medicare and Medicaid.

A humble suggestion: How about we work to make American health care affordable again? Right now, the focus is just the opposite.
jamanetwork.com/journals/jam...