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  • 6 months ago
During a press conference on Thursday, Gov. Andy Beshear (D-KY) spoke about the Big Beautiful Bill.

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00:00You can hear me now. I wanted to ask you, you were quoted by the Associated Press as saying that
00:07the Trump big, beautiful bill would close 35 hospitals in Kentucky and knock 200,000 off of
00:15their health insurance. This is a two-part question. How do you know that? And can you
00:21cite the source from where you're getting that information? And contained in the bill is $50
00:26billion in rural hospital stabilization. Will that help or have any impact?
00:33So we can send you a number of sources. The Kentucky Hospital Association itself,
00:37which is a pretty conservative group, have calculated all of those numbers. This is a
00:45billion-dollar hit to our healthcare economy in Kentucky, and that's just Kentucky. So even if
00:52every state were to get $1 billion of that rural hospital fund, that'd be less than 10% of the
00:59overall hit our hospitals are taking. The 200,000 connects up with, is both from a group we'll send
01:07to you, but also connects to the Congressional Budget Office, which scores how much savings
01:12they'll be based on how many people lose their coverage. And certainly that can break down
01:18in each of those states. But the way they find those 35 hospitals is how much funding do they get
01:24from Medicaid as opposed to other sources? Now, if you lose 10% of all of your Medicaid funding
01:33and you're 40 to 60% Medicaid and your patients coming in, then you can't afford to keep certain
01:41lines open. And what hospitals are already talking about right now, I talked to one the other day
01:45they were saying they might lose 200 employees, is what lines are they going to keep? Take
01:51delivery, which the margins are really low on. I mean, we could face a situation where if you live
01:58in parts of Kentucky, maybe you have one hospital an hour this way, and otherwise you're driving to
02:03Louisville or Lexington. What this bill threatens is late in your third trimester, you stay in the hotel
02:08hours away from your husband or partner because you don't know when you might give birth,
02:14and are they going to make it there to see the birth of their child. So none of these are
02:20arguments. They are all facts. They are all how the bill was scored. The only way they scored savings
02:26were people losing their health care. But the economic impact, people aren't paying as much
02:31attention to. And virtually every one of these counties of the 35 rural hospitals, they are the
02:38second largest employer behind the public schools. They likely have the largest budget, meaning the most
02:42money flowing into the community. So if you lose 20% of all the employees there, because the number one
02:51cost on health care is personnel, it's the people that are helping you out, then that is that many fewer
02:56people going into the coffee shop, going into the restaurant, or going into the bank. And this is a direct
03:02attack on rural America, on our economy, and on our health care. Most of the tax breaks are going to go to very
03:08wealthy people that live in big cities. And this is leaving rural America behind. And I get that rural
03:14America voted for this president, but he didn't tell them that he was going to pass a bill that was going
03:20to punch him in the face and ultimately make it that much harder to get by.
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