Thread by @MikeLevin

The new Senate version of the Republican Big Ugly Bill would leave 16 million more Americans without health insurance.

Not by accident. By design. On purpose.

With full knowledge of the harm.

Here’s how it breaks down👇🏻📊:

•7.8 million people kicked off Medicaid, mostly due to confusing new paperwork and red tape

•8.2 million lose coverage through the Affordable Care Act after $40 billion a year in subsidies vanish

•Over 15% of those losses hit California

Republicans say this is about stopping fraud or making people work. That’s false.

Kaiser Family Foundation found 92% of adults losing Medicaid are still eligible—they just get tripped up by the paperwork.

They don’t stop working. They stop getting care.

When Arkansas tried these “work” requirements, over 18,000 people lost coverage. Not because they refused to work—but because they didn’t navigate the website correctly.

There was zero increase in employment. Just more uninsured people.

California would lose up to $200 billion in Medicaid funding over the next decade—more than any other state.

That puts hospitals, clinics, and emergency rooms at risk of closing.

Not someday.

Not theoretically.

Soon.

The bill also strips away the basic tools states use to keep safety-net hospitals running—“provider taxes” and “state-directed payments” that support hospitals serving low-income patients.

That includes Proposition 35, which California voters overwhelmingly passed.

Prop 35 allows the state to collect a small fee from health care providers and unlock billions in federal matching funds for Medi-Cal.

This bill overturns Prop 35—no matter what California voters decided.

That means hospitals serving seniors, new moms, people with disabilities, and working families could lose billions—while their doors stay open less and their waitlists grow longer.

And this isn’t just about Medicaid.

If your local ER shuts down, your private insurance can’t fix that.

If the OB-GYN in your town leaves, your network won’t bring her back.

When care disappears, everyone pays more and waits longer.

Rural communities will be hit especially hard. They’ve already lost 2,500 doctors and 3,300 practices in just four years. This bill would accelerate those losses.

UC Berkeley estimates up to 217,000 health care workers would lose their jobs in California alone.

That means fewer nurses, EMTs, and maternity staff. Not just a health care crisis—a jobs crisis.

And while hospitals collapse, the bill also cuts student loan programs—making it harder for the next generation of doctors and nurses to afford school.

Who does that help?

Let’s be clear: most improper Medicaid payments come from billing errors by providers—not fraud by patients.

So why does this bill target patients instead of fixing the actual problem?

This isn’t reform. It’s demolition.

Millions lose coverage. Local hospitals lose funding. Hundreds of thousands lose jobs. And all of us lose access.

Whether you’re on Medicaid, ACA, Medicare, or private insurance—this bill puts your care at risk.

It’s not about fraud. It’s not about work. It’s about ripping out the foundation of American health care.

We have to stop it.