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How 17M Americans enrolled in Medicaid and ACA plans could lose their health insurance by 2034

As a public health professor, I see these changes, which will be phased in over several years, as the first step in a reversal of the expansion of access to health care that began with the ACA’s passage in 2010. About 25.3 million Americans lacked insurance in 2023, down sharply from 46.5 million when President Barack Obama signed the ACA into law. All told, the changes in the works could eliminate three-quarters of the progress the U.S. has made in reducing the number of uninsured Americans following the Affordable Care Act.

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‘MAGA’ Backers Like Trump’s ‘Big Beautiful Bill’ — Until They Learn of Health Consequences

Nearly two-thirds of adults oppose President Donald Trump’s “One Big Beautiful Bill” approved in May by the House of Representatives, according to a new poll.

And even Trump’s most ardent supporters like the legislation a lot less when they learn how it would cut federal spending on health programs, the poll shows.

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When you lose your health insurance, you may also lose your primary doctor – and that hurts your health

The connection to your primary care provider, usually a doctor, gets severed. You stop getting routine checkups. Warning signs get missed. Medical problems that could have been caught early become emergencies. And because emergencies are both dangerous and expensive, your health gets worse while your medical bills climb.

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Illustration of a white-haired older doctor sitting across the desk from an older couple in the doctor's office.

Why do cuts to Medicaid matter for Americans over 65? Two experts on aging explain why lives are at stakeWhy do cuts to Medicaid matter for Americans over 65?

People who lost their Medicaid coverage had more chronic conditions and could perform fewer activities of daily living, such as bathing and getting dressed, without any assistance as compared with those who still had Medicaid coverage. In addition, they were twice as likely to experience depression and be in fair or poor health. As people’s health worsened, they also went to the hospital more often and stayed there longer. They also used outpatient surgery services more frequently.

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