"In 2013, before the Affordable Care Act helped millions get health insurance, California's Placer County provided limited health care to some 3,400 uninsured residents who couldn't afford to see a doctor. For several years, that number has been zero in the predominantly white, largely rural county stretching from Sacramento's eastern suburbs to the shores of Lake Tahoe. The trend could be short-lived."
"County health officials there and across the country are bracing for an estimated 10 million newly uninsured patients over the next decade in the wake of Republicans' One Big Beautiful Bill Act. The act, which President Donald Trump signed into law this past summer, is also expected to reduce Medicaid spending by more than $900 billion over that period. "This is the moment where a lot of hard decisions have to be made about who gets care and who doesn't,""
Placer County once provided limited health care to roughly 3,400 uninsured residents in 2013, but for several years the county recorded zero uninsured patients. County health officials nationwide expect about 10 million newly uninsured people over the next decade following the One Big Beautiful Bill Act, which is projected to cut Medicaid spending by more than $900 billion. Public health leaders warn that large coverage losses will strain remaining safety-net systems and force difficult decisions about who receives care. States with legal indigent care obligations, like California and New Mexico, face particular funding and service challenges as county resources were redirected after Medicaid expansion.
Read at Truthout
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