{"id":2667,"date":"2025-06-21T15:15:14","date_gmt":"2025-06-21T15:15:14","guid":{"rendered":"https:\/\/www.europesays.com\/us\/2667\/"},"modified":"2025-06-21T15:15:14","modified_gmt":"2025-06-21T15:15:14","slug":"congress-isnt-fighting-a-health-care-crisis-theyre-creating-one","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/2667\/","title":{"rendered":"Congress isn\u2019t fighting a health care crisis, they\u2019re creating one"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/06\/play-icon.png\"\/> Listen to this article<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-680107\" src=\"https:\/\/www.europesays.com\/us\/wp-content\/uploads\/2025\/06\/Shiloh-Kantz-300x300.jpg\" alt=\"Shiloh Kantz\" width=\"300\" height=\"300\"  \/><a href=\"https:\/\/journalrecord.com\/tag\/shiloh-kantz\/\" class=\"st_tag internal_tag \" rel=\"tag noopener\" title=\"Posts tagged with Shiloh Kantz\" target=\"_blank\">Shiloh Kantz<\/a><\/p>\n<p>\u201c<a href=\"https:\/\/www.npr.org\/2025\/05\/31\/nx-s1-5418932\/we-all-are-going-to-die-ernst-joni-town-hall-iowa-senator\" target=\"_blank\" rel=\"noopener\">We all are going to die<\/a>.\u201d That was one lawmaker\u2019s response to growing concerns about federal <a href=\"https:\/\/journalrecord.com\/tag\/medicaid\/\" class=\"st_tag internal_tag \" rel=\"tag noopener\" title=\"Posts tagged with Medicaid\" target=\"_blank\">Medicaid<\/a> cuts \u2014 a moment that captured just how casually some in power view life-and-death policy decisions. That particular remark wasn\u2019t from a late-night comedy sketch. It came from a U.S. Representative, spoken directly to constituents expressing real fears.\n<\/p>\n<p>After the House passed its <a href=\"https:\/\/www.congress.gov\/bill\/119th-congress\/house-bill\/1\/text\" target=\"_blank\" rel=\"noopener\">proposed federal budget<\/a> \u2014 which included <a href=\"https:\/\/www.kff.org\/tracking-the-medicaid-provisions-in-the-2025-budget-bill\/\" target=\"_blank\" rel=\"noopener\">deep Medicaid cuts and new work requirements<\/a> \u2014 Speaker Mike Johnson defended the move by insisting there was \u201c<a href=\"https:\/\/www.youtube.com\/watch?v=bbJYRTlbFto\" target=\"_blank\" rel=\"noopener\">a moral component to what we\u2019re doing<\/a>.\u201d It\u2019s hard to see morality reflected here, given the bill\u2019s projected impact: the nonpartisan Congressional Budget Office estimated that <a href=\"https:\/\/www.cbo.gov\/system\/files\/2025-06\/Wyden-Pallone-Neal_Letter_6-4-25.pdf\" target=\"_blank\" rel=\"noopener\">up to 15 million people could lose Medicaid coverage nationwide.<\/a> However, our Congressional delegation has worked overtime to deny these facts. These cuts won\u2019t go unnoticed in Oklahoma, where <a href=\"https:\/\/oklahomawatch.org\/2025\/03\/11\/are-1-in-4-oklahomans-enrolled-in-medicaid\/\" target=\"_blank\" rel=\"noopener\">SoonerCare (our Medicaid program)<\/a> covers 1 in 4 Oklahomans.\n<\/p>\n<p>When people lose health insurance, they don\u2019t stop getting sick \u2014 they just wait until it\u2019s worse. This results in <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0196064408004265\" target=\"_blank\" rel=\"noopener\">more ER visits<\/a>,<a href=\"https:\/\/www.rwjf.org\/en\/insights\/our-research\/2025\/03\/hospital-revenue-losses-and-increased-uncompensated-care-if-medicaid-funding-is-cut.html\" target=\"_blank\" rel=\"noopener\"> higher uncompensated care costs<\/a>, and a<a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2025\/may\/federal-cuts-medicaid-could-end-medicaid-expansion-affect-hospitals\" target=\"_blank\" rel=\"noopener\"> greater burden on hospitals<\/a>. <a href=\"https:\/\/www.americanprogress.org\/article\/medicaid-cuts-would-threaten-rural-hospitals\/\" target=\"_blank\" rel=\"noopener\">Our rural hospitals in particular<\/a> rely on Medicaid (<a href=\"https:\/\/journalrecord.com\/tag\/soonercare\/\" class=\"st_tag internal_tag \" rel=\"tag noopener\" title=\"Posts tagged with SoonerCare\" target=\"_blank\">SoonerCare<\/a>) reimbursements to stay afloat. <a href=\"https:\/\/chqpr.org\/downloads\/Rural_Hospitals_at_Risk_of_Closing.pdf\" target=\"_blank\" rel=\"noopener\">Nearly two-thirds of Oklahoma\u2019s rural hospitals are already at risk of closing<\/a>.<\/p>\n<p>The economic cost is just as real. Medicaid <a href=\"https:\/\/kfor.com\/news\/local\/how-a-federal-funding-freeze-would-impact-oklahoma\/#:~:text=Oklahoma%20received%20over%20%2414%20billion,to%20watch%20the%20situation%20closely.\" target=\"_blank\" rel=\"noopener\">generates billions in federal dollars<\/a> and<a href=\"https:\/\/oksenate.gov\/sites\/default\/files\/2023-01\/OHCA%20%2724%20BPR_0.pdf#:~:text=OHCA%20(%20Oklahoma%20Health%20Care%20Authority%20),between%20138%20to%20200%25%20of%20the%20FPL.\" target=\"_blank\" rel=\"noopener\"> directly supports approximately 65,000 healthcare jobs<\/a> in Oklahoma. Every dollar the state spends on Medicaid brings additional federal funding, creating a multiplier effect that helps local economies and keeps providers in business.\n<\/p>\n<p>And while <a href=\"https:\/\/journalrecord.com\/tag\/congress\/\" class=\"st_tag internal_tag \" rel=\"tag noopener\" title=\"Posts tagged with Congress\" target=\"_blank\">Congress<\/a> moves to slash Medicaid, the federal government has also weakened <a href=\"https:\/\/journalrecord.com\/tag\/emergency-care\/\" class=\"st_tag internal_tag \" rel=\"tag noopener\" title=\"Posts tagged with Emergency Care\" target=\"_blank\">emergency care<\/a> protections. Previous guidance that reinforced <a href=\"https:\/\/www.cms.gov\/medicare\/regulations-guidance\/legislation\/emergency-medical-treatment-labor-act\" target=\"_blank\" rel=\"noopener\">EMTALA<\/a> \u2014 a longstanding federal law requiring <a href=\"https:\/\/journalrecord.com\/tag\/hospitals\/\" class=\"st_tag internal_tag \" rel=\"tag noopener\" title=\"Posts tagged with hospitals\" target=\"_blank\">hospitals<\/a> to treat anyone in an emergency, including pregnant patients \u2014 <a href=\"https:\/\/apnews.com\/article\/abortion-emtala-biden-trump-emergency-hospital-3640bff165dac1d28b91e8adee7e47dd\" target=\"_blank\" rel=\"noopener\">has been rescinded<\/a>. That change may not be part of this bill, but it\u2019s part of the same pattern: making it harder for people to get care when they need it most.\n<\/p>\n<p>So, when a lawmaker shrugs off the consequences or reframes them as a moral imperative \u2014 it\u2019s not just dismissive. It\u2019s dangerous. The consequences are tangible: care denied, hospitals closed, and kids harmed.<\/p>\n<p>Policy reflects values. And the values that our Congressional delegation is displaying here \u2014 indifference cloaked in conviction, denial disguised as duty \u2014 don\u2019t reflect the needs of Oklahoma. They reflect Washington\u2019s worst instincts. And if we don\u2019t push back, we\u2019ll be the ones paying the price.\n<\/p>\n<p>Shiloh Kantz is the executive director of the\u00a0<a href=\"https:\/\/okpolicy.org\/\" target=\"_blank\" rel=\"noopener\">Oklahoma Policy Institute<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"Listen to this article Shiloh Kantz \u201cWe all are going to die.\u201d That was one lawmaker\u2019s response to&hellip;\n","protected":false},"author":3,"featured_media":2668,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[327,3582,3583,210,1141,1142,3584,3170,3585,3586,3587,80,3588,3589,3590,67,132,68],"class_list":{"0":"post-2667","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-congress","9":"tag-emergency-care","10":"tag-federal-policy","11":"tag-health","12":"tag-health-care","13":"tag-healthcare","14":"tag-hospitals","15":"tag-medicaid","16":"tag-oklahoma-policy-institute","17":"tag-op-ed","18":"tag-policy-matters","19":"tag-politics","20":"tag-rural-health","21":"tag-shiloh-kantz","22":"tag-soonercare","23":"tag-united-states","24":"tag-unitedstates","25":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/114722014695266645","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/2667","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=2667"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/2667\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/2668"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=2667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=2667"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=2667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}