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One Rural Doctor on the Cuts to Medicaid

14.07.2025
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When Republicans passed their big domestic policy bill just over a week ago, they kept making the same argument about sweeping changes to Medicaid: that the measures, including new work requirements, would encourage able-bodied adults to earn their health care, ultimately creating a fairer system for everyone. Critics said the opposite: they have predicted that millions of working people who need health care will lose it.

The truth will emerge in rural and often Republican-voting areas where cuts to Medicaid funding will be felt most deeply. Natalie Kitroeff spoke to a family doctor in one of those places, western North Carolina, about what she thinks will happen to her patients.

Guest: Shannon Dowler, a family physician and health advocate in western North Carolina.

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Photo: Kaoly Gutierrez for The New York Times

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