Trump’s Medicaid cuts are coming for rural Americans: ‘It’s going to have to hit them first’

Experts worry the tax-and-spending bill will gut healthcare and hospitals, especially in states like North Carolina When Hurricane Helene drowned western North Carolina in muck and floodwater last year, it caught folks off-guard. Now, local leaders in places like Asheville expect the Republican-led reconciliation bill – called the “big, beautiful bill” by Donald Trump – to bear down on rural America. And they wonder whether people are missing the warning signs.