Some of the most conservative areas in the state are unbalanced from Medicaid, including the Earth of Jay Obernolte in the High Desert of San Bernatino County and the earth of the most northern County Doug Lamalfa.
Other Republicans represent the swing district Voting for Medicaid It can be politically dangerous. representative. David Valadao San Joaquin Valley is the largest proportion of Medicaid registrants in 67%of weeks. He voted to develop the House of Representatives. 6 years ago, his Vote to remove Affordable Care Act Perhaps his re -election paid his term.
In contrast, California’s Democrats took all the opportunities. Expand the Medicaid programThis gives people with low -income people (for example, individuals with less than $ 20,783 or four people with less than $ 43,056 per year).
As Affordable Care Act has been able to register more people than the federal poverty standards, the number of people with Medicaid in California has increased 31% since 2014. California also expanded to another category with about $ 8 billion every year. Money.
Today, the country spends $ 16.1 billion in Medicaid (PDF),, Many of them come from the federal government..
Republicans focused on conversation Eradication of “waste” and “fraud” In the federal program Initial proposal It seems to be aimed at the basic payment structure of Medicaid. Experts say that this type of cuts may require more expenses to the state lawmakers, political, financial, and non -financial governments.
Edwin Park, a public policy research professor at Georgetown University, said, “Many of these proposals are holding bags in the state.” “If you can’t raise money, it’s impossible to maintain your current expenditure.”
‘Some people will die without it.’ Statement on the floor of the house Valadao said that following the initial budget voting, Trump’s extension of tax exemptions in 2017 would make a real difference in “working families, farmers and small business owners,” but many of his components needed Medicaid.
Valadao said, “The only way to handle health care was from numerous members who say it is a program like Medicaid. “And I will not support the final adjustment bill that is at risk of leaving them.”
However, some California voters still feel as if they have failed by developing legislation that will lead to Medicaid cuts.
“For our representative David Valadao, this is betrayal. Earth voters, Morales-Ayon. Morales-Eayon voted to Valadao’s Democratic Party last fall.
Morales-Ahonon made Medicaid as a childhood because his parents’ job did not provide insurance. According to census data, the Valadao district’s income per person is about half of the state’s income.
Morales-Ayon said, “People need these resources to manage their daily lives.
Padilla, who lives on the Earth of Valadao, currently works as a pharmacy technician at Mercy Hospital in Bakersfield. A few weeks ago, she tried to appeal to Valadao to unite with DC Washington to not vote for Medicaid cuts. Employees told the group because they were too busy to stand.
Padilla grew up in the area and said that many families, including Cousins and 84 -year -old grandmother, had Medicaid. Her family, depending on Medicaid, has low wages or part -time jobs that do not provide health insurance. She said that the decrease in coverage is “destructive.”
Padilla said, “This is a vivid and honest truth of hard work.
In Orange County, Kaiser Permanente’s official nursing assistant Rios voted and gathered with the Republican Eternal Kim Kim, but nowadays she was consumed with the idea of what would happen if Medicade was cut. She is worried that she will lose her job and lose her approach to health care.
RIOS said that her grandson Elijah, who had cerebral palsy, would lose insurance. Elijah’s cerebral palsy drug costs $ 5,000 every month, she said.
“It’s not a Republican Party. It’s not democratic. Forget the political BS. This is human. ”Rios said. “Some people will die without it. Like my grandson, some people’s lives are in danger without it. ”
Rios, who has worked in the field of health for more than 20 years, said that Kim voted for Kim because he spoke compassionate about her constituency during the campaign and supported health care workers. But the budget vote was “beating the face.”
“I was very disappointed and frustrated that she voted, and she didn’t work harder for the children who needed it, as well as the same constituency as me,” RIOS said. “She must remember why we elected her in the office.”
A name On her website, Kim joined with other parliamentary Republicans, and the bill was procedural. I haven’t cut certain programs. KIM said in a statement that the GOP simply made the GOP simply “moving the ball forward.”
Kim said, “As this process progresses, I will continue to make it clear that the budget that does not protect vivid Medicaid services for the most vulnerable people will provide tax exemptions to small businesses, and the budget for dealing with state and local taxes will not be voted.
In her earth, which deals with the Orange County and some of the inland empire, 21%of people use Medicaid.
‘Existing threat’ for health clinics
But some medical service providers say that even the procedure votes are “too dangerous.”
Francisco Silva, the chief executive of California Primary Care Association, which represents more than 1,200 community health centers in California, said, “It is an existential threat from our point of view.
Known as a federal health center, the Community Health Center provides services to low -income communities. SILVA said in some areas of the state, Medicaid is the only reason for health centers and hospitals to collect enough income to maintain opening.
Marisol de la Vega Cardoso said that when poverty increased, all Medicaid reduced the risk of unstable the community health center. De La Vega Cardoso is the chief vice president of Family Healthcare Network, the second largest community health center network in the United States.
De la Vega Cardoso said, “Unfortunately, we may need to reduce the necessary services.
Dr. Richard Thorp, a long -term specialist in Paradise, is very concerned about how to unstable labor in the region where Medicaid cuts are already difficult to recruit doctors. Republican Lamalfa has represented the earth, including paradise since 2013.
Chico’s Attracted Outside Sierra Nevada was the most deadly wildfire site in California in 2018 and destroyed local hospitals. More than 80% of the population did not come back to live in paradise, and Thorp’s medical group fell from 15 first medical doctors to one full -time doctor supported by four high -quality employees.
THORP said, “We have a lot of workforce and pipeline problems. “It’s less possible to practice at Bert County while doing these cuts.”
Lamalfa said in a statement online, the House Budget Act was the first stage of “re -entry of Washington’s inevitable expenditures,” and “typical families of Norcal” will increase taxes without federal governments. The statement did not mention Medicaid.
“It’s time to prioritize a policy that grows the economy, cuts waste and guarantees a stronger financial future for the American people.”
Support of the California Health Care Foundation (CHCF).
