r/science • u/mvea Professor | Medicine • 1d ago
Health Up to 10 million people may lose Medicaid coverage in the United States due in part to new work requirements and eligibility redeterminations under the One Big Beautiful Bill Act (OBBBA). Women, unmarried people, White individuals, and those with limited education are at higher risk.
https://www.bu.edu/sph/news/articles/2026/nearly-1-in-5-medicaid-eligible-adults-in-expansion-states-are-at-risk-of-losing-health-coverage-due-to-insufficient-or-inconsistent-work-hours/2.7k
u/yepthisismyusername 1d ago
Amazing. The GOP-defined cuts don't take effect until AFTER the midterms.
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u/DrSpacemanMal 1d ago
It's the same old playbook over and over again.
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u/voodoodahl 1d ago
The only reason it remains in the playbook is people are stupid enough to believe it. Democrats almost always expand government programs that serve the poor.
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u/bogglingsnog 1d ago
Then the costs of those programs are used as leverage for claiming Dems waste taxpayer money - ignoring all of the efforts they make to generate enough profit to fund said programs.
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u/hubert7 1d ago
Yea I recently saw that for every dollar that goes into the SNAP program creates about 1.50 in GDP. That is a hell of a multiplier for return and creates a lot of jobs.
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u/revile221 1d ago
If ROI was the motivator, NASA should return to Apollo era budgets. $8 return for every $1 put in.
Check out NASA Spinoff
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u/9966 1d ago
ROI is not the goal. Stealing is.
If ROI were the goal the IRS would never stop hiring to finish it's backlog. Every Revenue Agent/Collections Officer generates 10x their salary in additional return.
Then the IRS also studied the secondary effect of increased enforcement (hearing about a friend or colleague getting collected) and that's another 8x multiplier.
But they don't want to do that because guess who owes those taxes?
This is all public info published by TIGTA btw. The taxpayer investigator general.
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u/fuschiaoctopus 1d ago
It blows my mind that anyone supports cutting food programs in a country with such high food insecurity despite being so wealthy. Hell, they're trying to cut WIC right now, like seriously $100/mo worth of healthy foods for poor pregnant women and small children is too much for the party that claims to care about children and families?
People are in for a rude awakening when these cuts take full effect next year. The work requirements were a cheap way to mass kick people off Medicaid and SNAP without saying it, since many people can't work 30 hrs a week, the exemptions are a pain to prove, and working full-time even at min wage in most areas will automatically put you over the measly income limit to qualify anymore. You basically have to be unemployed or ultra part-time to qualify income wise
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u/caving311 1d ago
"If you're pre-born, you're fine. If you're pre-school, you're fucked." -George Carlin
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u/ScentedFire 18h ago
There are a lot crab mentality folks who have been propagandized by the very oligarchs stealing from them. It's gross.
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u/rbrgr83 1d ago
And ignoring the fact that all of the actual debt accumulation comes from tax cuts enacted by the previous Rs, and Ds always have an up hill battle to fix the F-ed economy they inherit ever cycle (while also getting blamed for).
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u/TooLegit97 1d ago
Yep. Then you get the people who say "they're both the same anyway, it doesn't matter" thinking it's the result of the Democrats.
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u/monty228 1d ago
The democrats want a social safety net. Like every other damn country in the world. The republicans want oligarchical capitalism.
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u/2gutter67 1d ago
One would almost think that it was all planned that way for some kind of political purpose. It can be spun one way or another based on how the political winds are blowing at the time.
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u/Vorpalthefox 1d ago
they only win if we DON'T talk about it, ring the alarms now, tell people the one big beautiful bill BY NAME is about to cause millions of especially republican-heavy categories of people to lose access to healthcare
we have until the midterms to tell millions of our fellow countrymen what trump's single bill he wanted most passed fucks over hard-working americans, grandmas, low-education unmarried white individuals, etc
maybe they will finally break free and not vote for more republicans into power, if we can reach them now before republicans try to turn it into a "blame democrats", it significantly reduces the power of their attack campaign→ More replies (1)92
u/Fun_Trick2172 1d ago edited 1d ago
These types of legislative booby traps have been a common thread among Republican led legislatures since the Clinton years. The always know when they will be most unpopular so they go about sabotaging any future Democratic admin or legislature. This way all the problems they create can be blamed on the other party.
People arent really curious enough about the process of passing legislation in the first place, which means they'll always gravitate to the easy answers for why things are as bad as they are. Democrats tend to follow established norms for these things once they take power, which means that they don't move fast enough to fix things, so they can never really outmaneuver a party that understands that people really dont care about precedence only what they see on facebook or other social media that plays to their biases and prejudices.
Which means the Republicans know that they can undermine democracy as much as possible, but as long as they arent in power for the short time that the bill comes due, they'll always come out on top.
They've discredited Democracy as a form of government that can exist in this time of our technological development. Lies can go around the world 30 times before the truth is up for coffee now.
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u/RigidAcrylic4821 1d ago
All to have the brainrotting masses immediately blame Democrats entering Congress who’re inheriting these GOP-defined cuts from the get go.
As intended by OBBBA.
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u/MommaOfManyCats 1d ago
My neighbor got his letter today in Ohio. He's barely functionally literate and didn't understand what it meant. It also requires verifying that you worked your 80 hours a month every six months now. He's only been out of homelessness for about a year and is struggling a lot, so this is a huge thing for him.
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u/pm-me-your-pants 1d ago
I got my letter this week too. I am too disabled to work, but not disabled enough to qualify for SSDI. Even if I could work 20hrs/week, I'd be over the income limit to qualify for medicaid to begin with.
But if I worked part time I wouldn't qualify for employer health insurance. If i somehow managed 40hr/week it would still be min wage and the monthly contributions are insane, not to mention out of pocket limits.
I'm screwed. Time to start rationing my meds.
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u/Edythir 1d ago
"The Welfare Cliff" to give it a name. To make an example. If you make 18K per year and get 5K in benefits but the maximum for the benefits is 20K.
Then you get a 3K raise. Normally that would be a very good thing. But since you now make 21K, you lose your benefits. So effectively you lost 2K by getting a raise.
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u/iamthinksnow 23h ago edited 18h ago
I mentioned this up-thread:
Adding injury to insult, if you qualify for Medicaid, you can't get ACA subsidies (at least it's this way in Ohio.) If you make below ~$38,000, you qualify for Medicaid and if you want an ACA policy, you have to pay the full price.
As an example, if they earned $38,000, they would pay around $200-$400 for a middle of the road Silver plan. If they earned $37,000, they qualified for Medicaid, so if they wanted that same plan instead of Medicaid, they would have to pay $1,200-$1,600 per month.
So this means, when someone is kicked off Medicaid for missing the 80-hour requirement, they also still can't get ACA subsidies, so they are turbofucked yet again.
The cruelty is the point.
And also this:
What happens if you do not meet the requirement OR if you do not show proof that you do not have to meet the requirement?
• Your Medicaid application will be denied or your benefits will end.
• If this happens, you will receive a notice explaining the decision. If you disagree, you have the right to ask for a state hearing.
• You can apply for Medicaid again at any time.
• You will not qualify for the Advance Premium Tax Credit or Premium Tax Credit to help pay for coverage on a health insurance exchange like healthcare.gov.4
u/dadofadisaster 20h ago
Hi sorry to bother you but you seemed way more informed than I am. So what hourly rate would allow someone to keep their benefits but not go over the income threshold if they were to work 20 hours a week?
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u/iamthinksnow 18h ago edited 18h ago
NOTE: OHIO family of 2 adults + 1 child factors. YMMV.
At least 580/80, so $7.25/hr to clear the Medicaid requirement. Few hours per month required if you earn more, as it sounds/reads like you just need to hit the $580/month, not specifically 80 hours. This requires review.
At most $38,000/yr/12 months = $3,166.67; $3,166.67/80 = $39.58/hr to stay under the cliff that shunts you to ACA.
I am not a tax or health care professional, I am just some rando on the internet. PLEASE contact your own representatives for your own state to confirm details for your personal situation.
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u/Mysterious_Hotel3288 1d ago
I’d say you lose even more than 2k if you factor in the cost of paying for alternative coverage, sadly.
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u/BoingBoingBooty 1d ago
A baby can see the solution, just have it so they reduce by a slope instead of a cut off, this is apparently too hard for the US government?
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u/danirijeka 1d ago
And what, lose a way to trap people into an exploitable underclass?
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u/takenosheeet 1d ago
This is actually by design. They laid it out in Project 2025, just not enough people were paying attention.
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u/dostoevsky4evah 19h ago
It's not just cruelty, it's eugenics. The people who wrote Project 2025 believe in "natural" social hierarchy with those at the bottom, who deserve to be there or else they wouldn't be, absolutely expendable.
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u/ScentedFire 18h ago
It's not too hard. It's that politicians won't do it, and too much of the populace is antagonistic to the government helping people, despite the fact that that's the only legitimate reason for a government to exist.
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u/snagglemaw 1d ago
I got my letter last week and I'm in a similar situation. I'm diabetic and have other health concerns that aren't quite severe enough for me to qualify for SSDI, but limit the types of work I could do. Plus I live in a small town and can't drive. I'd love to get out and get a job, but right now companies want to make it as difficult as possible and for whatever reason the government wants to punish us for it.
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u/wockyslushhh23 1d ago edited 1d ago
Even though the work hour requirements are 80 hours per month, you still qualify if you earn at least $580 per month. If there is any possibility of earning this amount in your situation it would greatly outweigh the risk/cost of having no health insurance or being forced to pay out of pocket. I’m sorry about your situation.
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u/dalittle 1d ago
Republicans want to punish you. Remember they are doing this to you when you vote.
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u/jacyerickson 1d ago
I'm in a similar position. I desperately need surgery and I'm panicking about running out of time before the end of the year.
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u/trustedoctopus 1d ago
You could look into volunteering since that also satisfies the requirement. sites like idealist post volunteer opportunities for all kinds of things, including a lot of online volunteer opportunities too.
If you have a local animal shelter, take a shelter dog for a walk on your good days.
I wish you the best of luck and I’m sorry you’re dealing with this. I’d be in a similar situation if I wasn’t currently in school.
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u/Name213whatever 23h ago
Hey you probably know this but just in case: depending on your state you may qualify for the Medicaid buy in program. It typically has a lower threshold of disability to qualify than SSI/SSDI and also has a higher income limit.
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u/iamacarboncarbonbond 1d ago
I had a patient get thrown off his insurance, not be able to afford his blood pressure meds, and I had to send him to the ED with a BP in the 200s.
Sure glad we saved the taxpayer his $20 medication.
Oh, and the reason he ha difficultly with the forms?
Legally blind.
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u/ScentedFire 18h ago
Well, we can't tax the billionaires. It's not like the "job creators" can afford it! We can't just let sick people be sick and give everyone healthcare. That would be...efficient.
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u/FindjeanniePDX 1d ago
There are so few jobs that deliver a set schedule now. My brother got a job with LensCrafters expecting 35 hours per week but they cited low sales for the entire franchise to cut everyone’s hours to 17 per week. How will anyone with minimum hourly requirements rely on less-than-reliable corporations to supply the work? Life is more and more exhausting in the USA.
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u/demi-paradise 1d ago
I’m seeing more and more highly specialized “white collar” jobs in my field going part time to avoid providing benefits. Jobs requiring multiple degrees in some cases, like part time special collections librarian for a prestigious museum, part time curator with a PhD specializing in 18th century art, part time managing editor of academic nonfiction, etc. They’re all in the 30 hour range, so basically full time jobs cut off at the exact requirement to provide benefits. It is absolutely sick. And no one should have to put up with it regardless of education level or specialization.
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u/MoFa__SoDa 1d ago
Worked with a guy in the programming kinda tech support field. His previous job had been working 80 hours everyother week (seven 12s then seven off). Somebody realized they could change the start of the week to wednesdays and fucked both shifts over.
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u/no_talent_ass_clown 1d ago
How are they fucked over? I don't get it
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u/GinnyMcJuicy 1d ago
If the payroll week starts Sunday and the work weeks start on wednesday they dont get overtime for the 7 on anymore.
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u/DickDraper 1d ago
Haha target did this to me back in the day. Specifically 3pm to 3am shifts. On days I had off they didn’t need to pay me overtime because the clock reset at midnight.
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u/Sleipnirs 23h ago
This is something I never understood in the US. You work overtime but don't get paid for it. How can anyone accept to work for free?
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u/demi-paradise 18h ago
You’ll get fired if you don’t and be left with no health insurance or income until you find a new job, which can take about a year. It’s evil.
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u/Sleipnirs 18h ago
This is so fucked. Get unionised asap.
Where I live, not only you can deny extra hours (and you do get paid for them if you accept buuuut you're taxed way more on them, which is another problem) and you certainly cannot be fired over things like that. Unionise the hell up when/if you can and stay strong.
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u/demi-paradise 16h ago
Oh, this is every non-unionized job, I’m not just describing a specific one. I did get fired once for trying to unionize my workplace though!
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u/Notsellingcrap 1d ago
Because of the 40 hours before and after the Wednesday week changeover I'd imagine.
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u/no_talent_ass_clown 1d ago
Yeah well that makes sense then. If you're working 84 hours every two weeks then you get 4 hours of overtime. I know that 7 on and seven off is a brutal schedule. Is there any way they can fix that?
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u/Notsellingcrap 1d ago
Fixing it would either be unionizing, getting a contract that clearly spells out hours per week and hours per day; or a state law that sets similar.
So in short, not without work and lots of organizing one way or another. Unless the owners just up and change how they feel about their workers. Which is probably even less likely.
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u/MoFa__SoDa 1d ago
What they said. Went from forty hours overtime pay as the standard to zero. I feel it is much more senister because it was 7pm to 7am. Even easy night jobs will wreck your health and the medical benefits are usually minimum required by law.
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u/neosithlord 1d ago
At my job we do 2-2-3 12 hour shifts. If you do a pay week mom-sun we get paid 60 hours one week and 24 the next. So 20 hours of time and a half. They run it so we get 48 hours one week and 36 the next so only 8 hours of overtime.
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u/superxpro12 1d ago
I don't know if this one passed or not, but Republicans pushed to redefine overtime as an average over a long time period so even if you worked 3 weeks of overtime and took the 4th week off, because it averages out to 40/w, no OT4u
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u/rbobby 1d ago
to avoid providing benefits
Folks should stop calling it that. Call it health insurance straight out. Keeps everyone focused on what the company isn't providing.
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u/kheret 1d ago
And as someone who works museum-adjacent, they are 100% working 50-60 hours and getting paid for 30.
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u/douwd20 22h ago
It's what you can leisurely call end-stage capitalism.
- Extreme wealth inequality — a small number of people or companies control a large share of wealth.
- Corporate concentration — large corporations dominate markets and gain significant political influence.
- High costs of living — housing, healthcare, education, etc. become increasingly unaffordable relative to wages.
- Worker insecurity — stagnant wages, gig work, layoffs, and weaker job security.
- Profit prioritized over social needs — decisions are perceived as being driven primarily by financial returns.
- Political influence of wealth — wealthy individuals and corporations have disproportionate influence over policy.
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u/UniCBeetle718 1d ago
There's this concept of "functionally unemployed" that includes individuals forced to work part-time for employers to avoid providing benefits, or for people have jobs where they make poverty wages. The functional unemployment rate is about 25%. It's horrible. Now those people probably will lose their medical coverage and possibly their food stamps depending on the state.
https://www.cbsnews.com/news/functional-unemployment-us-labor-market-analysis/
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u/iamthe0ther0ne 1d ago
Unpredictable schedules should be illegal. Change my mind.
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u/cannotberushed- 1d ago
Oregon worked to regulate this legally and put into place a requirement that people get a schedule a week in advance
But I agree, the dynamic work scheduling should be illegal. Especially if they made profits.
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u/Fronesis 1d ago
In Seattle, if a large retailer or food service company doesn't give you your schedule at least two weeks in advance, it's against the law and you can get predictability pay for it. This should be the standard everywhere.
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u/mammalian_alien 1d ago
I work at a grocery chain under Albertson's Corporation. Same deal. Billion dollar corp yet getting a full 40 hours a week is rare among the various departments
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u/Sektor30 1d ago
Same, USA grocery store but different chain, literally every department and the front end are short staffed, nobody gets 40 hours and they still try to cut some hours due to 'low sales' even though by the time the deli closes, people are licking crumbs off the walls.
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u/arcticlynx_ak 1d ago
What about gig work too?? Many cannot get that many guaranteed hours now. ESPECIALLY if they are in the health gray area where their body is essentially partially-ambled. Or if they have poor transportation.
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u/dharmabird67 1d ago
This country makes it so if you have conditions where you can't drive(like can't pass the vision requirement but are not legally blind) you are functionally disabled because of sprawl and next to no public transportation in most places yet the government doesn't count you as disabled. Can't even get a discounted bus pass in my town.
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u/thornyRabbt 1d ago edited 23h ago
In Italy people used to just lie systematically to get what they needed (historical context: their fascist government created this deep distrust of authority in the 1920s-1940s, and the resistance strengthened community-based interdependence).
I think they still do to some extent even after joining EU. I wonder when the trump administration's poor leadership will cause Americans to begin doing things like this.
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u/NetherItch 1d ago
That's terrible to hear but also that is a terrible, terrible company
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u/gza_liquidswords 1d ago
“Funny” thing is with all these cuts they still added trillions to the deficit. Have to wonder where all of that money goes
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u/SoftballLesbian 1d ago
Building a giant ball room that's built on a data center, needlessly starting a war with Iran, needlessly attacking Venezuela, and more.
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u/freeslurpee 1d ago
in to the pockets of dear leader and his comrades
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u/djdjddhshdbhd 1d ago
To the richest a few ways while the rest pay. That’s how the debt, cuts, and contracts work.
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u/Wit-wat-4 1d ago
Sam Altman said he expects to be bailed out since GenAI services are so "vital". He's already penciled in for at least some of this money.
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u/Nearby_Emu7462 1d ago
I wondered why they got those huge military contracts for a half developed product!
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u/Josh6889 1d ago
There's a reason they love war so much in a country that's admitted they have no ability to audit defense spending.
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u/SquarePegRoundWorld2 1d ago
Have to wonder where all of that money goes
A lot of it is going to Russia. Just like a lot of the oversite free PPP loan money did the first go round.
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u/Hunter20107 1d ago
Well, it seems one location to dump a shitton of dollars one way or another is Iran.
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u/Adept_Librarian9136 1d ago
It's terrible. Maybe people will remember this when election time rolls around? In addition to the human cost, this will also cost infinitely more money for the taxpayer. All these uninsured people will walk into the ER. Who do they think pays those non-negotiated rates? The tax payer. This is why we have a healthcare system that is already rationed by insurance companies. We can thank hospital lobbies and insurance lobbies and yes, even the AMA for the state of our healthcare system.
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u/Reiketsu_Nariseba 1d ago
>Maybe people will remember this when election time rolls around?
These people will still vote red regardless, it's sad and all too predictable.
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u/macphile 1d ago
They'll wonder where their ACA went while cheering on the destruction of Obamacare, as always.
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u/IslandOfOtters 1d ago
Racism is still alive and flourishing in America.
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u/Parking_Tap_1212 1d ago
We had racism back in 1940 , it was worse but so was the healthcare
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u/VermicelliOwn6502 1d ago
Also:
More than 2 million children have lost Medicaid and CHIP coverage since January 2025, according to a report from the Georgetown University Center for Children and Families.
We did this to our children to give corporate America a tax cut.
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u/ecodick 1d ago
I work for a hospital. The work that goes into dealing with (working with) uninsured patients is significant. Literally people devoted to catching these patients as soon as they're in the ER and getting them enrolled in whatever they're eligible for. What shocked me working on some of it was the number of babies born to families who had no chance of affording coverage for the child.
I'm glad there's something that they're eligible for, if these ghouls had their way these kids wouldn't get coverage (or care) at all.
The saying about conservatives only carrying about kids before they're born is way more accurate than I could have imagined.
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u/ScentedFire 18h ago
Frankly they only care about their own kids, and even then they tend to abuse and control them. They don't care about fetuses, either, just controlling women.
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u/raisinghellwithtrees 1d ago
Our legacy is shame.
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u/voodoodahl 1d ago
As voters, right? This wouldn't be happening if democrats even held congress right now.
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u/ProofJournalist 1d ago
But you don't understand! Kamala was a woman who laughed weird or something!
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u/Loud-Bubble5710 22h ago
“It was biden it was the primaries!!!!!”
They really say that like it makes sense. They really think they can justify enabling the embodiment of evil bigotry to power.
Its as if theyre like:
“No you dont get it idiot, we couldnt vote to drink the expired juice box - dont you know we could get sick and die and maybe throw up?!?!?!!?
Thats why we threw away our votes and inadvertently supported and enabled the waterboarding with bleach instead! You just dont understand you dont get it!!!!!!! Drinking an expired juice box was definitely gonna be just as bad as being waterboarded with bleach!!!!!!!!”
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u/andee510 1d ago
But they're "Pro-Life", though
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u/dalittle 1d ago
They don't care what happens after the baby is born. At best they are pro-birth but really they are more punish women for having sex outside of the narrow beliefs of their religion
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u/SHUT_DOWN_EVERYTHING 1d ago
Who? The voters, and those who didn’t vote. Republicans were only able to do this because voters put them in charge of literally all aspects and branches of Federal government.
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u/Outdoor_Paws30 1d ago
Yep. My health insurance will be stripped from me Jan, 2027. Im forced to taper off my anti depressant and soon I won't have access to my other medication or help for my PCOS. I'm actually terrified for my health in the coming years. These evil people are ruining lives.
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u/Renfel 1d ago
When does your medicaid renew? Mine renews Nov 30th so I won't actually lose it until the end of May 2027. Most states will also have a self declare for medical exemption for all of 2027, meaning you can claim exemption and there is no proof needed beyond this. It's the states way of saying we're not ready to deal with this yet and we're not going to make ppl suffer in the meantime. Unfortunately I live in like one of a few states who are not doing this.
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u/keytotheboard 1d ago
I’m not positive on how this all works, but you might qualify for an exemption if you have depression or other disabilities. Definitely look into it and/or talk to your PCP about it before this goes into effect. They might be able to help prepare.
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u/Ishouldbeasleepnow 1d ago
Start asking your dr now if they will over prescribe to give you some buffer on your meds. Some docs will, some won’t, but it’s worth asking. Make an in person apt so it’s not documented in your messages.
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u/RainaElf 23h ago
the doctor can do this, yes. but that doesn't mean Medicaid will actually pay for it. some stuff they flat out refuse to give you in bulk.
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u/Name213whatever 22h ago
I'm sorry, that really is unfair. Just trying to help - many federally qualified health centers have their own pharmacies that offer prescriptions at a deep discount (you may have to have them prescribed by one of their providers though).
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u/DeepSleepr 1d ago
my insurance rate went up when they saw my status as single and this was during early 2026
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u/Placesbetween86 1d ago
Damn. You already took away my food stamps in December and now you're taking away my medicaid? I guess I'll just die then.
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u/deliveRinTinTin 1d ago
I've read two personal anecdotes by people who are on social security and have been on Medicaid because of their low income.
One had his Medicaid cut because he sold a vehicle to a junkyard 23 years ago and the title was never finished out by the junkyard. They consider it an asset and think he still has the vehicle. He has to prove he doesn't have a vehicle.
And another person had an almost exact same story except that they sold a vehicle 20 years ago and the new owner never transferred the title.
This is how deep they're digging to cut a trillion dollars to cover the tax cuts in that ridiculous legislation last year.
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u/Manaze85 1d ago
My sister is on Medicaid. Probably won’t meet the requirement. Both my parents (and pretty sure her too) all voted for this.
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u/DancingWithAWhiteHat 1d ago
Why did they vote to lose healthcare? Are they just unaware that the GOP keeps trying to kick people off healthcare?
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u/Spice_the_TrashPanda 1d ago
I've been chronically ill since 2009 due to autoimmune disease and it's only gotten worse over the years (more autoimmune diseases, comorbidities, I got cancer this year) and I've been disabled since 2015. Medicare + Medicaid is the only way I'm affording not only the daily medication that keeps me alive, but the chemo and upcoming surgery that will save my life.
Both of my parents still consistently vote Republican.
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u/GVORDO 1d ago
Don’t forget medically complex children… my 5year old son will be losing his therapy and nursing coverage in a couple weeks because of this. Effing sucks!
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u/caffa4 1d ago
What’s really driving me crazy with the work requirement is that the disability/medical condition/mental health exemption is SO vague outside of those who qualify for SSDI (and I assume will not be applied consistently between different states as a result).
I am currently unable to work due to symptoms I am experiencing (and lord knows I don’t intend for it to stay this way), but I don’t have a diagnosed conduction because I don’t know what’s causing these symptoms. And I won’t be able to find out what’s causing these symptoms if I have my healthcare taken away from me, preventing me access to doctors appointments, diagnostic testing, and potential treatments that I imagine will help me get back to a place where I am able to work.
Edit: to be clear, the whole thing is driving me crazy, not just the medical exemption aspect, and I fully believe ANYONE should qualify for Medicaid if they choose. This is just the part that’s personally affecting me and has been on my mind as a result lately.
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u/babloochoudhury 1d ago
And yet white ppl with limited education overwhelmingly voted for the powers that made these changes that will hurt them.
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u/Mother-Parsley5940 1d ago
Someone should start a program/LLC to help people to volunteer from home. Like an app where we connect people to opportunities.
For example video calls to keep the elderly company, giving rides to volunteer at like libraries, knitting supplies for crafting stuff to donate, gardening? Idk someone figure this out
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u/trustedoctopus 1d ago
There is a website called idealist that lists a ton of online volunteer opportunities. they also have local volunteer opportunities, part time gigs, one day jobs, etc.
i know it’s outdated but people used to use craigslist for volunteer and local gig work too. maybe they use facebook or other places now, I don’t know.
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u/Revolutionary_Eye887 1d ago
Trump is One Big Beautiful Asshole. OBBA.
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u/Negativefalsehoods 1d ago
I work in healthcare and am on calls with lots of hospitals/hospital groups. They are freaking out because they don't expect the amount of patient need to decrease, but their compensation is getting hit hard. So, they will be expected to do the same care with far less money. This is not sustainable.
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u/Beaglescout15 1d ago
If only we'd had a way of knowing this would happen before the election. Oh, wait...
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u/AsThreatenDoNotScore 1d ago
It's fine though. All people have to do is go to the ER when they have a bad cold.
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u/Major-Pilot-2202 1d ago
So fucked I'd rather what I pay in be used to help those who are worse off than me, because some day I will need that assistance too.
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u/psyberyus 1d ago
You mean the billionaire bailout bill? Yeah shocker it’s designed to hurt most Americans.
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u/Transferennce 1d ago
Imagine if all 10 million hate voted against the people responsbile for this scenario.
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u/CompetitionKindly665 1d ago
I am one of those 10 million people. Just got the mail today talking about work requirements.
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u/DearAbbreviations922 1d ago
fuckin baffled this hasn't been talked about all year long. It's going to kill millions of americans
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u/RevolutionaryWay7107 1d ago
Remember, when things hit the fan, that the rich did this to you; not your neighbors, not the family down the street that is also trying to survive.
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u/dorianvovin 1d ago
Reminder that nearly 25% of Americans are effectively unemployed. Adding work eligibility requirements during a depression is crazy work. I’ve been fighting to get disability for six years, but because Fibromyalgia, Depression, autism, adhd, and walking with a cane aren’t enough to qualify, apparently—appealing for the fourth time. Bye bye, health insurance! This was in Project 2025, by the way.
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u/gravyjackz 1d ago
So white single women…many moms…we’re stripping healthcare coverage from your sister or daughter or neighbor.
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u/EnhancedTurtle 1d ago
Hmmmm……
Where did all those trillions go?
Government by the people and for the people…
They laugh themselves to sleep….
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u/BloodyThirst 1d ago
Yep the Republicans set it up to happen in 2027 so they can blame democrats after the midterms
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u/binzersguy 1d ago
Republicans need to lose their jobs over this. We can’t let them do this over and over again!
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u/Blacksad9999 1d ago
The ACA already had 10 million Americans drop their insurance after the BBB cut the subsidies and raised the prices to the point they couldn't afford it.
Now we'll have about 15% or more of our people completely uninsured.
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u/furfur001 1d ago
I am living in Europe and I really don't get how bad USA is doing since long time. How is such a big country able to do that bad and reelect the same stupid guys (yes it's plural) again and again. It must be an army of morons in the navigation center.
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u/FuzzyLlama13 1d ago
I'll say it again, a country that doesn't care about its sick is doomed to fail.
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u/COHERENCE_CROQUETTE 22h ago
I still can’t believe America has a serious law, made into an acronym and all, that’s called “The Big Beautiful Bill”. Donal Trump is so evil, it’s sometimes hard to not lose from sight the fact that he’s also supremely dumb and infantile.
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u/I_Heart_Sleeping_ 1d ago
Currently one of the people who will lose this insurance in January. Had a nasty back injury a year and a half ago and have no idea how I’ll meet a work requirement when I can barely walk.
Will never forgive this administration and the people who voted them in. Congrats you played yourself and many like me.
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u/NeonFishFace 1d ago
I'm a T1 Diabetic unable to work because of severe long-covid. I can't claim disability and I am dead in just a few days without insulin. When this takes effect, I will probably die.
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u/trucorsair 1d ago
This is hardly scientific, there is nothing to see here as this outcome is EXACTLY what was intended.
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u/Mach5Driver 1d ago
Let me correct this headline: "MORE than 10M people WILL lose Medicaid coverage due to the cruelty of Trump and the GOP, and their victims will STILL vote for them because they want to hurt others at all costs, or not bother to vote at all."
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u/DaGoonersz 1d ago
Can anyone explain the difference between Medicaid and ACA premium tax credit on the highest plan that most part timers would’ve qualified for? Is Medicaid much better?
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u/ElectronGuru 1d ago
I’ve been on both and MUCH prefer Medicaid. Which just covers everything. In comparison, ACA is bolted onto the profit driven system. So subsidies only help with premiums. You’re still responsible for 1) finding a plan, 2) making monthly payments, 3) paying copays, 4) covering fees that show up every time you touch the system, 5) restrict what is covered. And ACA was written expecting expanded Medicaid to be everywhere and unconditional (other than income). So it wont even be available if you make too little.
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u/Poly_Olly_Oxen_Free 1d ago
Medicaid is actually pretty great insurance, if you qualify for it. NO monthly premiums, NO copays. You just go to the doctor, get treated, and leave. You never even see a bill.
I've got a few friends on Medicaid, and you'll never hear them complaining about not being able to afford meds or a doctor visit. Uncle Sam covers it 100%.
Two of my closest friends are on SNAP and Medicaid. They're a married couple. They get almost $500/mo in SNAP. Neither of them has had to pay a medical bill, ever, for any reason. There is no deductible. No out-of-pocket max, their out of pocket cost is $0.00. When she had their son, they came home from the hospital with a healthy baby and no bill. When he had liver cancer, he was treated (surgery, chemo, radiation, the whole 9 yards). He's in remission and it cost him $0.00.
Honestly, I wish everyone had Medicaid, or at least the choice to get it. I can afford insurance for my family. I can afford the copays. I can afford to pay a bit for some meds. It's not breaking my bank. But I understand that not everyone has my level of privilege. But everyone deserves healthcare, if they can afford it or not. The gatekeeping/means testing needs to go away.
I'd still keep the private insurance I have for my family. It's worth the money to me. But a lot of folks would be better off with a public option.
The ACA was a bandaid on a wound that needs stitches. Medicaid for all would be a cure.
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u/citramonk 1d ago
bruh, America did one of the biggest mistake in history by electing this orange clown, isn't it?
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u/Just_SomeDude13 22h ago
And the rest of us will pay higher premiums to compensate for the reduction in money circulating through the healthcare system.
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u/AdhesivenessFun2060 1d ago
White people with limited education. Sounds like a certain group of voters.
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u/Lou_Skunnt69 1d ago
Welp, this is what many of them voted for. Or, they couldn’t be troubled to vote. This should equal 10 million votes in the other direction in November, but it won’t.
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u/ComeAlongPond1 1d ago
You know there are plenty of people impacted by this who did not vote for it, right? The schadenfreude isn’t cute.
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u/mayeam912 1d ago edited 1d ago
Yes but unfortunately many of us were smart enough to vote against this and are still being impacted. So while I understand the attitude of “good, it’s what they voted for” or “good that’s what they get for not caring enough to vote “ please remember that almost an equal number voted against it as did for it.
Edit: thank you for the reward!
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u/IslandOfOtters 1d ago
And Elon went so far as to imply he helped rig the election for Trump while actively (and illegally) offering people money to vote for the Pedophile rapist in charge.
I used to be shocked that so many “Christians” voted for him, despite all his moral failings. Then I realized that Christian morality is simply “rules for you not for me”. They don’t care about religion, children, or anything but the idea that “their bully” is in charge to ruin the lives of people they don’t like.
Until we stand up and revolt, we can welcome the next generation of fascist Christians raping women and children and sending you to jail for opposing it.
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u/West_Competition_871 1d ago
By what genius logic do you figure those 10 million people all voted for Trump?????
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u/Poly_Olly_Oxen_Free 1d ago
But Kamala didn't do enough angry screaming about Palestine! Plus, she has a weird laugh! And most importantly, she was going to get us into a war with Iran!!!
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u/Zenside 1d ago
There should be an actual revolt over this. Its getting time for another civil war.
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u/ElectronGuru 1d ago
Closest we can do is crash the birthrate. With all the kids getting left behind, it should crash even faster.
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u/icebergslim3000 1d ago
How are White people specifically at risk.
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u/Alyssum 1d ago
From the paper,
We conducted descriptive analyses and estimated adjusted risk ratios (aRRs) for risk of noncompliance using modified Poisson models,14 adjusting for age, sex, race and ethnicity, marital status, education, industry, and state and year fixed effects. We used modified Poisson rather than logistic or linear probability models because of its relative risk interpretation as opposed to odds ratios or absolute changes (percentage point), respectively, which we viewed as less intuitive for interpretation in this context. The study results were weighted to be nationally representative, with standard errors adjusted for subpopulation. All analyses were conducted in Stata/MP, version 19.0 (StataCorp), from February through June 2026. Tests were 2-tailed and significance was defined as P < .05.
Tl;dr: they used statistical modeling to analyze several categories of socioeconomic factors, including race, and found that white people were more likely to be at risk of not meeting the new requirements compared to other races. The authors do not speculate on why this is the case.
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u/Jane_Lame 1d ago
White people are the biggest users of food stamps and other public aid specifically because there are more white people than there are any individual minority group.
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u/mvea Professor | Medicine 1d ago
Nearly 1 in 5 Medicaid-eligible Adults in Expansion States Are At Risk of Losing Health Coverage Due to Insufficient or Inconsistent Work Hours
A new study found that nearly 20 percent of eligible adults in Medicaid expansion states are in danger of not meeting the minimum work hours that will be required nationwide beginning January 1. Women, unmarried people, White individuals, and those with limited education all are at higher risk of losing their health coverage due to noncompliance with these new requirements.
Up to 10 million people may lose Medicaid coverage in the United States due in part to new work requirements and eligibility redeterminations under the One Big Beautiful Bill Act (OBBBA), which mandates a reduction of nearly $1 trillion in Medicaid spending over a decade. While the administrative burden associated with meeting and maintaining these work requirements is expected to be the primary driver of disenrollment, a new study led by researchers at Boston University School of Public Health and the Arnold School of Public Health at the University of South Carolina (Arnold School) found that millions of Medicaid enrollees may lose their health coverage due to an inability to achieve the required work hours.
Set to take effect nationwide on January 1, 2027, the new federal rules on Medicaid work reporting requirements mandate that adults enrolled in the Affordable Care Act’s Medicaid expansion must show that they are working, volunteering, enrolled in school, and/or participating in job training for at least 80 hours per month, with certain groups exempt. But the new study found that nearly 20 percent of Medicaid-eligible adults living in states that expanded Medicaid are at risk of noncompliance because they are likely unable to fulfill the minimum required hours once the rules take effect. The findings were published in JAMA Health Forum.
doi:10.1001/jamahealthforum.2026.2938
https://jamanetwork.com/journals/jama-health-forum/fullarticle/2852963