Rural America overwhelmingly voted for President Trump. So now, will the GOP do anything to help Republican voters and counties?
The winners and losers in the ‘big beautiful bill’
These are the potential winners and losers from the tax bill, which President Donald Trump has dubbed the ‘big beautiful bill’.
Republicans have officially made life more difficult for their rural constituents, and it seems like they’re more than content letting people suffer. They actually celebrated it.
On July 4, Friday, President Donald Trump signed his spending package, dubbed the One Big Beautiful Bill Act, into law. Now, it’s only a matter of time before we start seeing the consequences of $1 trillion in Medicaid cuts over a decade. Of those cuts, there will be an estimated loss of $155 billion in Medicaid funding to rural areas.
“It’s the single worst piece of legislation I’ve seen in my lifetime, and it is a congressional Republican and presidential attack on rural America,” Kentucky Gov. Andy Beshear, a Democrat, said on CNN, adding that about 200,000 people in his state could lose coverage.
In my home state of North Carolina, Republican Sen. Thom Tillis estimated a $32 billion impact on the state over the next 10 years. Tillis was one of the few GOP senators to vote against the bill.
These funding cuts won’t just affect individuals who rely on Medicaid for health care services. According to one analysis, more than 300 hospitals in rural areas would be at risk of closure because of the loss of Medicaid dollars.
Here is the question: Do Republicans have a plan for helping these communities, or will they be too busy high-fiving each other?
After all, rural America overwhelmingly voted for Trump. So now, will the GOP do anything to help Republican voters and counties? History tells us that’s not likely.
Republicans have abandoned rural America
Take the Affordable Care Act, otherwise known as Obamacare. Republicans have been trying to “repeal and replace” the program since it became law in 2010. Yet despite their best efforts, the GOP has never seemed able to repeal it, much less find a suitable replacement.
Trump famously said he had “concepts of a plan” for what could replace Obamacare, but nothing has actually come to fruition either time he’s been in office.
Or look at how the Republicans dismantled Roe v. Wade through the courts and implemented abortion bans across the country under the guise of “protecting life.” Instead, health outcomes are worse. Infant mortality rates have risen in states with abortion bans. Women in states with abortion bans are more likely to die before, during or shortly after childbirth. These bans haven’t stopped abortions, either – they’ve just made things less safe.
If Republican lawmakers were serious about protecting life, they would be combating the country’s infant and maternal mortality rates instead of decimating access to abortion services. They would have a plan to fix it instead of moving on to find other things to take away from Americans.
So, what is Congress doing to help?
Congress appears to recognize that rural communities are in need. At least, the Republicans in charge want it to seem that way. The legislature allotted $50 billion for a rural hospital fund over the next five years – far less than what is needed to make up for the loss of Medicaid dollars.
There are plenty of people who will say Republican voters are getting what they deserve – after all, this is what the majority of rural America voted for.
I choose to believe that no one deserves to have their health care threatened, regardless of how they cast their ballots. People in rural parts of the country, regardless of how they voted, deserve to have health care that is accessible and affordable. They certainly deserve to have babies with as much medical care as possible.
ABC News and NPR recently ran coverage on Trump supporters in several states who are now struggling with what this will mean for them and their communities. While voters aren’t as openly regretful of their votes as you might expect, they still have their reservations about what is to come.
We know Republican leaders don’t care about Democratic voters. But if they cared about their constituents, they would be doing something to make up for this huge loss of funding and medical support. At the very least, state-level parties should begin discussing how they’re going to make up the difference. However, it seems more likely that Republicans will do nothing, just as they’ve done every other time.
Follow USA TODAY columnist Sara Pequeño on X, formerly Twitter: @sara__pequeno
