How to Speak up for Medicaid This August

As members of Congress return to their districts for what is traditionally called the August congressional recess, Republican members will be working overtime to sell their constituents on the benefits of the Trump mega-bill (technically the “One Big Beautiful Bill”).

Republicans know well that this August will determine the outcome of the crucial 2026 midterm elections. In a memo from the Republican National Campaign Committee (NRCC) obtained by Politico, GOP members of Congress were advised that:

While the election is still more than a year away, this August in-district work period is an opportunity to go home and sell your work to your constituents. With the One Big Beautiful Bill signed into law by President Trump just a few weeks ago, this is a critical opportunity to continue to define how this legislation will help every voter and push back on Democrat fearmongering.

The NRCC memo advises GOP members of Congress not to let Democrats define the agenda on Medicaid by stressing public support for eliminating waste and fraud and by instituting work requirements for Medicaid beneficiaries. Polling suggests that Republicans have their work cut out for them. Research conducted for The Wall Street Journal found that:

The findings show Republicans’ challenges in selling the law’s benefits as they try to hold their slim control of the House and Senate in next year’s midterm elections, and the poll demonstrates how Democrats might be able to capitalize on voters’ skepticism to stage a comeback. Overall, the law drew 42% support and 52% opposition, performing slightly worse than Trump himself in the poll. It generated negative marks from 94% of Democrats, 12% of Republicans, and 54% of independents.

On the other side of the call, The Wall Street Journal research shows there is support for work requirements and increased checks on Medicaid eligibility. Furthermore, as always, there is support for tax cuts. Much will depend on how the issues are framed. Right now, there is a lot of blank space for Democrats or Republicans to work with. Polling from CNN finds that only 27% say that they have been following debate over U.S. President Donald Trump’s mega-bill “very closely.”

In these times, it is easy to feel overwhelmed and that there is little or nothing that one person can do to make a difference. Nothing could be further from the truth. This August you have a rare opportunity to help save American democracy by speaking out against the Medicaid cuts in Trump’s mega-bill. Reach out to your member of Congress and find out how you can attend a town meeting and speak out in support of Medicaid. If your member of Congress is not holding a town meeting, stop by their district office and share your concerns with congressional staff. Trust me as a former congressional district office staffer, your presence will be noted.

If you have never gone to a congressional town meeting or met with a member of Congress, it can be intimidating. There is no need to be nervous. Remember that they work for you! Here are some simple tips that might be helpful:

• Remind your member of Congress that according to the nonpartisan Kaiser Family Foundation, Medicaid pays for the care of fully 60% of patients in nursing homes.
• Tell your member of Congress that according to the American Hospital Association, 40% of all the births in this country are paid for by Medicaid.
• Convey the real-world impact of what cuts to Medicaid would be. Do not fall into the trap of defending Medicaid as a government program. Instead, talk about anyone you know who relies on Medicaid. If you rely on Medicaid, you should share that. Polling data shows that fully 60% of Americans know someone who depends on Medicaid. The more personal you make the issue of Medicaid, the more effective you will be.
• If you live in a rural area, tell your member of Congress that their vote for the Trump mega-bill will hurt your local hospital. According to the National Rural Health Association, “the bill will limit access to care for all rural patients by ending healthcare coverage for rural residents nationwide and putting financial strain on rural facilities who care for them.” Do not talk about rural hospitals in general, talk about your local hospital and why it is important.
• Provide the “why” in your Medicaid advocacy. Tell your member of Congress that you know that Medicaid is being cut to fund tax cuts for the wealthy.