Not to mention the tax cuts Trump is still a damn good deal for them. Fun fact next year a shitload of rural and suburban hospitals are going to be shutting down.
That's because the Republicans didn't really have the votes to have ram those tax cuts through so they used a process called budget reconciliation that allows them to bypass Senate rules and pass legislation with a simple majority.
But that process requires everything be budget neutral on paper and no matter how crazy they did the math they couldn't make that work without cutting Medicare and Medicaid.
Now from Medicare they mostly are using dirty little tricks to cut around the periphery but from Medicaid they've instituted work requirements that are basically impossible for the kind of person who is living on Medicaid to meet so that they just get kicked off. There's also a shitload of other dirty little cuts to the program.
And for everyone thinking so what I'm not a dirty filthy, socialist on government healthcare why would I care? Your hospital relies on the money from Medicare and Medicaid to stay open and keep the private equity vultures fed.
Now if you win one of those major cities, the kind that Fox News will tell you is currently on fire because of antifa stormtroopers, then your hospital has enough other business to stay open.
But if you're in the burbs or the sticks you're in trouble. Now the rural folks don't have a lot of options here. Rural people are either too stupid to understand they're being screwed or they know they're being screwed but they can't do anything about it because there's a guy who basically owns all the property in their county and if they want a job or a place to live they go through him. Turns out rural people aren't actually very self-sufficient, decades and decades of poverty will do that to a man..
But still they're expecting it. It's the people in the suburbs that are going to be shocked when their hospitals start closing. It turns out that having a huge amount of sparsely populated land is nice as far as property values and comfort but not so good for your tax base. So there isn't actually enough of a base in most suburbs to sustain their services and they actually rely heavily on subsidies from the inner cities and the federal government.
Well we just took down that chesterton's fence and y'all going to find out what it's like for your hospital is to start cutting services and closing. There is a fund to try and counteract some of it but it's a tiny fraction of what's needed and is mostly going to get sucked up by corrupt political insiders in the Republican party.
Anyway if you're in a suburb or the sticks I highly recommend you don't get sick for at least next 10 years. It'll take that long for the Democrats to have a prayer in hell and doing some of this damage.