
Republican Hypocrisy Reaches Into the Countryside
President Trump won his second term in office with the overwhelming support of rural America.
Not only was overall turnout up in the nation's rural counties, but Trump won many of those areas by more than two-to-one. And while it is a little too much to say that Trump's dominance with rural voters delivered him the White House, it is true that without this over-performance, his path to victory would have been harder.
Given the importance of rural voters to his political coalition — and that of any Republican who hopes to follow in his footsteps — you might assume that Trump would prioritize the interests of rural voters. This is, after all, what you're supposed to do in a democracy: reward your supporters for their support.
Not so for Trump and his Republican allies in Congress. If anything, their agenda is calibrated to devastate rural America.
Consider the budget proposal now making its way through the House of Representatives. To pay for their $3.8 trillion tax plan, which includes possibly trillions in tax cuts and extensions for the wealthiest Americans, Republicans want to cut $700 billion from Medicaid and other federal health programs. If passed into law, these cuts — some which come in the form of work requirements for Medicaid — could cause as many as 8.6 million Americans to lose their health insurance.
Some prominent Republicans may see many of these Medicaid recipients as adult layabouts, but it's more likely that these cuts will affect low-income children, seniors and Americans with disabilities, who rely on Medicaid for health and home care.
But the big point I want to make is that, as the Center on Budget and Policy Priorities notes, rural areas in particular depend on Medicaid spending. Nearly half of all children in rural areas, 47 percent, receive health insurance through Medicaid. Rural hospitals, which have struggled to stay afloat in the face of broad and overlapping challenges, also rely on Medicaid to stay open and provide needed services to isolated areas.
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