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healthcare
NY State Judge Throws Out Terrorism Charges Against Luigi Mangione
"While the defendant was clearly expressing an animus toward UHC, and the health care industry generally," said the judge, "it does not follow that his goal was to ‘intimidate and coerce a civilian population.'"
Sep 16, 2025
A judge in New York City on Tuesday threw out a pair of charges against Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in December of last year while he walked down a street in Manhattan.
Judge Gregory Carro did not throw out the entirety of the murder charges against Mangione, but said two of the most serious charges—murder in the first degree as a crime of terrorism and a second-degree charge related to terrorism—were not proven by the prosecution's case presented to a grand jury.
The judge indicated that just because Mangione may have been motivated by ideological opposition to the for-profit industry, that does not de facto make it terrorism under New York statute.
"While the defendant was clearly expressing an animus toward UHC, and the health care industry generally, it does not follow that his goal was to ‘intimidate and coerce a civilian population,’ and indeed, there was no evidence presented of such a goal,” Carro wrote in his decision.
In addition to state charges in New York, Mangione is also facing a federal murder case over the killing of Thompson, with the federal prosecutors seeking the death penalty. The accused has pleaded not guilty to all charges.
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Trump’s Budget Cuts Will Only Make Things Worse for Struggling Rural Hospitals
The budget bill will put enormous strain on rural hospitals, which are often the largest local employer in addition to crucial care providers.
Sep 14, 2025
Bari Senecal waits outside the emergency department at Columbia Memorial Hospital in Hudson, New York. “I do construction. I fell three stories,” Senecal explains. “I was on top of the scaffold and this new kid we hired didn’t put the braces on correctly.”
Like 70 million Americans, Senecal qualifies for Medicaid, the state and federally-funded public health insurance program for low-income patients. She also qualifies for Medicare. She’s what’s known as being “dual-eligible.”
At Columbia Memorial, 63% of patient service revenue is reimbursed through a combination of the two programs. But “we run a deficit every year,” says Dorothy Urschel, CEO of Columbia Memorial Health. “For many, many years, we’ve been reimbursed at well below cost.”
The hospital has the only emergency room serving the more than 110,000 residents scattered among two predominately rural counties. “Of course, we’re struggling,” says Urschel. “But rural community hospitals always struggle.”
Columbia Memorial already closed its maternity ward in 2020—part of a distressingly common trend. A recent study from the Journal of the American Medical Association found that more than half of rural counties now have no hospital-based obstetric services whatsoever.
Like other rural hospitals across the country, Columbia Memorial is bracing for the loss of Medicaid-covered patients and funding because of the Republican reconciliation bill, dubbed the “One Big Beautiful Bill Act,” which was signed by US President Donald Trump this summer.
Over the last decade more than 100 rural hospitals have closed across the country—50 of them in just the last eight years.
According to the nonpartisan Congressional Budget Office, the bill will cut $911 billion in federal Medicaid spending over the next decade and result in an estimated 10.3 million people losing their Medicaid health insurance. Add in cuts to the Affordable Care Act and the number of people expected to lose their insurance rises to 16 million.
According to Larry Levitt, vice president for health policy at the Kaiser Family Foundation, this amounts to “the biggest rollback in federal support for health coverage ever.” And it will put enormous strain on rural hospitals especially—which in Columbia County and elsewhere are often the largest local employer in addition to crucial care providers.
The GOP staggered these cuts so that the worst effects of the budget changes won’t be felt until after the midterm elections in 2026 are safely past. But “some rural hospitals around the country have already started closing” in anticipation of the cuts, warns Michael Chameides, a member of the Columbia County Board of Supervisors.
Senator Ed Markey (D-Mass.) provided a list of 338 rural hospitals in danger of either closing or drastically scaling back services. All 338 had experienced three consecutive years of negative total profit margins and were in the top 10% of institutions with patients on Medicaid.
Rural hospitals facing disaster are identified individually according to which state will see the losses. Kentucky, Louisiana, and California top the list with 35, 33, and 28 rural hospitals identified as at risk of closure, respectively. New York has 11. (Columbia Memorial isn’t officially one of them, but Garnet Medical Health Center Catskills, another Hudson Valley hospital, is.)
An estimated 1,796 hospitals remain in rural America, but those numbers obscure the level at which the services they offer may have already contracted. According to the Government Accountability Office, over the last decade more than 100 rural hospitals have closed across the country—50 of them in just the last eight years.
In New York and every other state, as federal funding runs dry it will be up to the governor and legislature to make provisions for struggling rural hospitals—or stand by and watch them collapse.
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US Court Lets GOP Defunding of Planned Parenthood Take Effect
"This cruel decision will disproportionately impact people of color and people living in rural communities and healthcare deserts," said one abortion rights activist.
Sep 12, 2025
A federal appeals court on Thursday gave the Trump administration the green light to cut off Planned Parenthood from receiving funding from Medicaid.
As reported by Reuters, the 1st US Circuit Court of Appeals placed a hold on a preliminary injunction granted by a lower court that had kept Medicaid funding to Planned Parenthood in place. Planned Parenthood was blocked from receiving Medicaid funding after US President Donald Trump signed the so-called "One Big Beautiful Bill Act" into law earlier this year.
In a statement released after the ruling, Planned Parenthood said that it would result in more than 1.1 million patients being unable to use Medicaid to access needed healthcare services at its clinics.
"Patients who rely on the essential healthcare that Planned Parenthood health centers provide, can’t plan for their futures, decide where they go for care, or control their lives, bodies, and futures," said Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America. "All because the Trump administration and its backers want to attack Planned Parenthood and shut down health centers."
Johnson added, however, that she wasn't giving up and said that Planned Parenthood "will continue to fight this unconstitutional law, even though this court has allowed it to impact patients."
Brittany Fonteno, president and CEO of the National Abortion Federation, warned that taking away funds from Planned Parenthood would only put more strain on other hospitals and clinics that are already bracing for the negative impact of the GOP's Medicaid cuts.
"When Planned Parenthood health centers are forced to close, pressure mounts on other clinics already stretched thin to provide sexual and reproductive health services," she said. "This cruel decision will disproportionately impact people of color and people living in rural communities and healthcare deserts, who will be left with even fewer options and longer wait times to get the care they need. Any additional barriers to care are both unacceptable and dangerous."
Sen. Elizabeth Warren (D-Mass.) took to social media to warn that up to 200 Planned Parenthood clinics could close thanks to the loss of Medicaid funding, which she said would have devastating consequences for women's healthcare.
"How many people will be denied cancer screenings, birth control, and STI testing?" she asked. "Millions. It's horrific."
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