this post was submitted on 04 Jul 2025
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Experts worry the tax-and-spending bill will gut healthcare and hospitals, especially in states like North Carolina

When Hurricane Helene drowned western North Carolina in muck and floodwater last year, it caught folks off-guard.

Now, local leaders in places like Asheville expect the Republican-led reconciliation bill – called the “big, beautiful bill” by Donald Trump – to bear down on rural America. And they wonder whether people are missing the warning signs.

“It’s going to have to hit them first,” said Laurie Stradley, CEO of Impact Health in Asheville, a Medicaid-funded non-profit providing social services to some people still digging out from the flood.

Medicaid is the single largest health insurance program in the US. The public program covers 71 million low-income, disabled and elderly US residents. It pays for half of all US births and the care of six in 10 nursing home residents.

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[–] [email protected] 20 points 13 hours ago* (last edited 13 hours ago)
[–] [email protected] 29 points 15 hours ago (1 children)

They voted for this. I have zero remorse.

[–] [email protected] 27 points 14 hours ago (2 children)

I asked my magic 8 ball if the rural voters would learn from this and it said 'No'.

[–] [email protected] 13 points 14 hours ago

They'll blame Biden while trump laughs at them

[–] [email protected] 14 points 14 hours ago

They’re going to be smiling and #winning all the way to the grave. RIP.

[–] [email protected] 20 points 14 hours ago

If Covid didn't smarten them up, I doubt the beetuspocalypse will either.

[–] [email protected] 12 points 13 hours ago

I typically only want good things for all people, but I have no sympathy for the rural voters who brought this upon themselves. I feel bad for their neighbors who voted against this, but that's a minority of the rural population. Have fun, fuckers!

[–] [email protected] 7 points 13 hours ago

Just one more gotcha, bro. It’ll hit them this time. I promise.

[–] [email protected] 6 points 13 hours ago (1 children)

You guys are funny if you think this will change their minds. In fact, what is likely to happen is increased poverty & desperation is going to impact urban areas just as much, and will cause a surge in crime which Democrats will try to gaslight everyone about & turn those areas more red. If anything, people will just blame & fight among themselves but not band together.

[–] [email protected] 2 points 11 hours ago

I hope Democrats run on defunding medical care even more maybe that'll help them win the midterms and presidential election