5
#000000
#FFFFFF
healthcare
'Hospital Crisis Watch' Tracks Healthcare Center Closures Under Trump-GOP Budget Law
"Donald Trump and Republicans just sacrificed hospitals and lifesaving care for millions so they could hand out massive tax breaks to billionaires."
Jul 11, 2025
A healthcare advocacy group launched a project Thursday aimed at tracking hospital closures under the recently enacted Trump-GOP budget law, whose unprecedented cuts to Medicaid could force clinics across the United States to cut services or shut down entirely in the near future.
More than 700 rural hospitals, which rely heavily on Medicaid reimbursements, were already in dire financial straits prior to passage of the Republican budget package, which includes more than $1 trillion in Medicaid cuts. The new law is expected to push many struggling facilities over the edge.
"The consequences of this Republican bill are playing out in real time," said Protect Our Care, the advocacy organization behind new project, titled Hospital Crisis Watch. Earlier this month, a clinic in a rural Nebraska community announced that it would soon shut its doors, citing "anticipated federal budget cuts to Medicaid" as a major factor.
One analysis by researchers at the University of North Carolina at Chapel Hill estimates that more than 330 hospitals in rural areas across the U.S. are at risk of closing or curbing their services due to the Republican assault on Medicaid.
"With Hospital Crisis Watch, we're exposing the full scale of harm Republicans are inflicting on America's healthcare system."
Protect Our Care noted that Medicaid "accounts for one-fifth of spending on hospitals, one-fifth of hospital discharges, and at least one in five inpatient days in nearly every state."
" Donald Trump and Republicans just sacrificed hospitals and lifesaving care for millions so they could hand out massive tax breaks to billionaires," said Brad Woodhouse, the president of Protect Our Care. "This GOP bill won't just hurt people who rely on Medicaid or the Affordable Care Act—it rips care from everyone who depends on the hospitals, clinics, and nursing homes that will shut their doors as a result."
"With Hospital Crisis Watch, we're exposing the full scale of harm Republicans are inflicting on America's healthcare system—community by community, hospital by hospital," Woodhouse added. "The public deserves to know who's responsible, and we won't stop until Trump and Republicans are held accountable."
The project comes as hospital officials and healthcare experts are increasingly sounding the alarm about the looming impact of the Trump-GOP Medicaid cuts.
"What this does is put us at risk when the respiratory season hits," Benjamin Anderson, CEO of Hutchinson Regional Healthcare System, told NBC News earlier this week, saying the Medicaid cuts ensure that the 180-bed hospital his organization oversees will have to continue its hiring freeze.
"We're at real risk of wearing out the staff we have right now," Anderson warned.
Keep Reading
Show Less
Trump's GOP Megabill Slams Door on Progress of the 20th Century
It’s not enough that Trump slashes taxes on the rich. He partially pays for those cuts in ways that punish poor and working-class people. Now we must fight like hell to regain what we've lost—and go further.
Jul 11, 2025
As Republican Senators moved their megabill through the Senate, I was celebrating the life of my father-in-law who died at 91 earlier this spring. Born during the Great Depression, he lived a long, prosperous, healthy life because of work and luck, but also because of doors opened by policies enacted between 1900 and 1980. This country’s biggest historical challenge has been delivering this progress to all Americans, but Republicans have cut it back for everyone, retreating from many 20th century achievements in ways that will slam doors, rather than opening them, for the next generation.
Lawmakers established the individual income tax in 1913, the corporate income tax in 1909, and the estate tax in 1916. The new tax law weakens all three. These taxes, combined with the payroll tax created in the 1935 New Deal, enabled poverty to plunge, education levels to soar, and lifespans to nearly double over the course of the 20th century. The roads and railroads, schools and colleges, and pipes and power sources that our tax dollars funded catalyzed industrial, educational, and health advancements that transformed our world.
The income tax, corporate tax, and estate tax raise revenue for our collective needs and do so progressively, falling most heavily on those most able to pay. These are the funding sources Republicans chose to attack in their megabill. That’s why the law’s huge giveaways go so resoundingly to the uber-rich. All told, the richest 1 percent – a group with incomes exceeding $916,900 per year – will get a trillion dollars in tax cuts over the next decade. Find the average annual gift to the wealthiest 1 percent in your state here.
More than 70 percent of this law’s tax cuts go to the richest fifth of people, while middle-income Americans get just 10 percent and the poorest fifth get less than 1 percent. And for 80 percent of Americans, Trump’s tariffs will offset most or all of the tax cuts by raising prices on things we all buy.
Make no mistake, President Trump and his Congress have guaranteed that fewer Americans will have health insurance, more children will go hungry, and states will have less federal funding to deliver good schools, affordable college, and quality roads and bridges.
It’s not enough that Trump slashes taxes on the rich. He partially pays for those cuts in ways that punish poor and working-class people. The new law makes the biggest reductions to health care in American history – stripping insurance coverage from 17 million Americans by kicking them off of Medicaid and taking away their Affordable Care Act subsidies. On top of booting people off health care, this will force near immediate closure of more than 300 rural hospitals.
The second major funding source literally takes food from hungry families by slashing the Supplemental Nutrition Assistance Program (SNAP) (once known as food stamps), a program that provided a meager but essential $2.84 per person per meal last year. These are the biggest attacks on food aid in history, abandoning a core federal commitment to provide at least minimal nutrition to the elderly, disabled people, and the very poorest children.
The final major spending cuts end incentives that were sparking jobs and investments in the green energy economy. This threatens 4,500 clean energy projects, imperils hundreds of thousands of jobs, and is projected to add billions of dollars to Americans’ annual energy costs. The subsidies were reducing the carbon emissions that contribute to climate change. Gutting them is a baffling choice as hurricane season bears down on coastal regions. They also were strengthening domestic energy production, making the U.S. less dependent on oil suppliers in the middle east and elsewhere.
Despite spending cuts, the bill will add trillions over the next decade to the national debt. This will shift costs onto the next generation, making it more expensive to borrow to buy a home, finance college, or even purchase the basics.
My father-in-law lived a great life in part because of taxes. His generation – particularly white men in his generation – benefitted from growing investments in public schools, affordable college, a GI bill that made housing and higher education even more manageable, a skyrocketing economy, and plentiful jobs often with unions, wage growth, and sometimes, as in his case, great health insurance and a full pension.
None of the benefits of the boomer generation were distributed equally and Black Americans were particularly left out. And starting with Ronald Reagan’s assault on unions, job quality deteriorated, with health coverage and pensions eroding particularly for workers without a college degree. But make no mistake, President Trump and his Congress have guaranteed that fewer Americans will have health insurance, more children will go hungry, and states will have less federal funding to deliver good schools, affordable college, and quality roads and bridges.
A hard-working, devoted, optimistic man, my father-in-law had unyielding confidence that America would keep its promise to the next generation. This week Republicans reneged on that promise. We can collectively reclaim it, so every baby born today has the chance at upward mobility and achievement that many in previous generations did. America’s future just got dimmer. We have an obligation to restore its brightness.
Keep Reading
Show Less
How Innovators Are Emotionally Supporting Abortion Seekers in a Post-Roe World
With laws constantly changing and often unclear, being able to reach abortion seekers on an emotional level is a critical touchpoint in the new digital landscape of access.
Jul 10, 2025
In the three years since the Dobbs decision resulted in abortion bans in 42 states across the U.S, the ecosystem of abortion access in America has shifted and stretched to meet the ever-changing moment. The Supreme Court’s ruling in Planned Parenthood vs. Medina has paved the way for even more states to further target abortion providers by enabling states to withhold state funding to clinics that provide sexual health services from sexually transmitted infection tests to cervical cancer screenings simply because they also offer abortion care.
With laws constantly changing and often unclear in the eyes on abortion seekers, being able to reach abortion seekers on an emotional level is a critical touchpoint in the new digital landscape of access. Innovators have stepped up to meet the demand for emotional support, helping individuals feel heard and get informed throughout the abortion process as laws change and stigma abounds. They’re pairing abortion seekers with counselors, peers, and educators as the digital entry point to care, meeting and supporting the actual and immediate needs, whether they are anxious, confused about where to find care, or feeling stigmatized.
With policies currently in Congress that might lead to the closure of even more reproductive healthcare clinics, including services from cancer screenings to STI testing, the need to keep patients informed of how to get the care they want has never been more dire.
We might discuss the emotional journey of an abortion seeker around getting them from confusion and disorientation to understanding and relief, regardless of their choices.
At the same time, Crisis Pregnancy Centers, or fake clinics that pose as counseling centers for pregnant people, persist in their anti-abortion messaging and are funded nationwide at five times the rate of abortion clinics and funds. Through the language of free testing and counseling, they encourage patients to enter illegitimate medical clinics, by talking about abortion decision-making despite the fact that they do not provide it, or any other form of medical care.
Their latest move has been to go digital, expanding their already vast and well-funded footprint into a mobile chat experience that utilizes the language of values-based decision-making and regret avoidance to deter those seeking real support amid a complicated landscape.Their goal is clear: be the first to reach abortion seekers confused by the complex legal landscape when they go online looking for information. They then delay, deter, and redirect them away from real medical care.
The punchline is that their latest innovation is a rip-off. Planned Parenthood’s Chat and Text program has paired website visitors with sex educators for the past 15 years, and the M+A hotline has operated a phone line staffed by doctors and volunteers since 2019. And post-Dobbs, the internet abounds with even more determined activist-innovators. There are comprehensive resource websites for those seeking medication abortion by mail, awareness campaigns, brave providers shielded by their state’s laws, health centers with stronger telehealth capabilities, and abortion doulas and hotlines stitching pieces together with the patient’s needs in mind.
Knowing that most users’ journeys start with a Google search on their mobile devices, it’s important to ensure that emotional support tools are easily accessible in a variety channels like web chat, text, Signal, or WhatsApp, and through completely low-tech options, and ensuring immediate connection to a person who can help no matter how someone prefers to communicate. These crucial organizations engage users compassionately and non-judgmentally. Powered by counselors, volunteers, and care providers, they are digital communities formed to listen, validate, and educate, without pathologizing the user’s emotional state. Engaging emotionally also helps users talk through social and legal stigma, misinformation, and education needs no matter where they live.
Reprocare is a peer phone and textline that offers comprehensive support at every phase of the process including informed landscape navigation for people who need detailed hand-holding and practical support, and the care team sends care packages directly to users who are alone and who express a need for resources and a human touch. Reprocare’s sister company, Autonomie, also builds technology that quickly matches users with abortion funds that help them access care.
Aya Contigo calls their bilingual chat tool “an abortion doula in your pocket,” and it first launched in the U.S. in Spanish, primarily using WhatsApp to reach vulnerable Latino communities. Designed in Venezuela with feminist organizations and 1,000 co-creators, it brings lessons from the Latin American feminist movement to our country, including the tradition of “acompañantes” or accompaniment as a framework. Using bilingual educators on WhatsApp chat and the asynchronous resources on their downloadable app, Aya Contigo ensures patients are never alone, that they have check-ins and follow-ups and are treated gently and compassionately for the days and weeks following their medication abortion.
Exhale Pro Voice is a post-abortion counseling program that offers a non-judgemental support text line for after-abortion support. Exhale also promotes its services for partners, parents, and friends of those who have had an abortion, in order to meet their unique emotional needs and also learn to be a support system for the person in their lives. Exhale is also a crucial resource for counselors, providers, and reproductive health workers seeking a confidential space outside of their work to sustain their well-being, especially important after three years of confusion and challenging, uphill work.
All-Options goes a step further, with a reproductive justice framework that understands that access to abortion has always been inequitable, be it because of location, resources, family, or tradition. Through their talk line, users are given emotional support to understand their access abortion care, and can also speak with a spiritual counselor, access adoption resources, pregnancy resources and infant care support, and a diaper program in their Indianapolis community.
Meeting the emotional impact of bans means considering a reframing of what we could term “the journey map” of an abortion seeker. The Turnaway Study highlights the mental health impact on those denied abortions over a period of 10 years. It elevates an important point: The most common emotion after an abortion is a sense of relief. Framed this way, we might discuss the emotional journey of an abortion seeker around getting them from confusion and disorientation to understanding and relief, regardless of their choices.
Today, researchers are only beginning to track the mental health impact of the Dobbs decision, and recent studies highlight depression and anxiety among women of reproductive age in general. Nearly 25% of women 18-25 years old have had a major depressive episode in the past year, and women of reproductive age in states where abortion is banned report increased anxiety. Further behaviors among young adults post-Dobbs, like increased permanent contraception like tubal ligation and vasectomy in banned states, are proof of the social pressures and sense of personal insecurity, and a lack of bodily autonomy created by bans.
Emotional support is key not just to providing immediate care, but to transforming the abortion access landscape. The coalition building of organizations that prioritize emotional and cultural competency can provide innovative, scalable solutions to a complex societal problem. While funders understand emotional support as a component of the wider access landscape, they don’t always see it as a fulcrum for change and outsize impact. Investing in innovators who have built this direct accompaniment ecosystem, powered by real, caring humans, is vital to maintaining access for critical abortion and reproductive healthcare.
Keep Reading
Show Less
Most Popular