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What’s at Stake When We Talk About Health Care

How we can talk with our family, friends, neighbors and leaders about what’s at stake, and what we can do together to defend healthcare.

All across the country, citizens at town hall meetings are asking hard questions to the 217 Republicans like New York’s John Faso and Elise Stefanik who voted in Congress to repeal the Affordable Care Act and cut Medicaid.

People’s Action’s Julie Chinitz offers advice about how we can talk with our family, friends, neighbors and leaders about what’s at stake, and what we can do together to defend healthcare.

On May 4, Congress passed a health care repeal that will push 24 million people off health care and make health care more expensive for many millions more. The Senate will soon start writing its own legislation to take our health care away.

We’ve beat this repeal back before. Let’s do it again. Help keep our firestorm going by talking with family, friends, and neighbors about how health care repeal will hurt us and our hometowns.

Talk About Our Values

Most of us believe the only decent thing is for everyone to get the health care they need. We believe our government should make sure we all can get health care — not take health care away. We don’t think people should die or suffer because they don’t have a lot of money.

But members of Congress who voted for this health repeal don’t share these values. If they’re like Rep. Mo Brooks of Alabama, they think we’re to blame for our illnesses. Some, like Rep. Raul Labrador, refuse to understand that, yes, people do die if they can’t afford health care. They really don’t think our government should protect and promote access to health care. We do.

Stick to the Real Fundamentals of What the Health Repeal Does

Some members of Congress are plain lying about what their health care repeal bill does. So, let’s make sure people in our hometowns know the fundamentals:

Talk About How Health Repeal Hurts Everyone

No matter where we live, people will be kicked off coverage — here are estimates by congressional district. Some people may see premiums go up because of health conditions: here are estimates of pre-existing condition surcharges and the number of people affected, also by congressional district.

This means more people cutting treatment short or not getting it at all, skipping medications, going without exams that catch cancer early, or being sent to collections. It means families having to take care of aging relatives instead of getting professional care (most people receiving long-term care are covered by Medicaid). It means stress and worry.

And lots of people will die.

Some people — mainly those who are younger and have higher incomes — may get more money for premiums. But their deductibles will spike, going up by about $1,550. And we all may be hit with those dollar caps on care — including people with employer plans.

But the bigger point is this: you just can’t take health care away from this many people without dire consequences for entire communities. Hospitals and clinics may shutter, especially in rural areas. People will lose jobs in health care and related industries.

And small businesses — part of the fabric of our communities — will be hit by a double-whammy: no coverage for their employees (or themselves), and a customer base that’s struggling under the weight of higher health care prices.

Say What You’ll Do to Protect Health Care in Your Hometown, and Invite People to Help!

Tell friends and family you’re not going to let your member of Congress of the hook for their disastrous, reprehensible vote. You’re going to call and let that congressperson know how outraged you are and your plans for holding them responsible. They should do the same.

Invite people to events in your hometown — rallies, town hall meetings, and other events where people are gathering to call for health care for everyone.

Now more than ever, we need to take democracy into our own hands. That means spreading the word and letting politicians know we’re organized and committed — and we’re not going away!

Help us Prepare for Trump’s Day One

Trump is busy getting ready for Day One of his presidency – but so is Truthout.

Trump has made it no secret that he is planning a demolition-style attack on both specific communities and democracy as a whole, beginning on his first day in office. With over 25 executive orders and directives queued up for January 20, he’s promised to “launch the largest deportation program in American history,” roll back anti-discrimination protections for transgender students, and implement a “drill, drill, drill” approach to ramp up oil and gas extraction.

Organizations like Truthout are also being threatened by legislation like HR 9495, the “nonprofit killer bill” that would allow the Treasury Secretary to declare any nonprofit a “terrorist-supporting organization” and strip its tax-exempt status without due process. Progressive media like Truthout that has courageously focused on reporting on Israel’s genocide in Gaza are in the bill’s crosshairs.

As journalists, we have a responsibility to look at hard realities and communicate them to you. We hope that you, like us, can use this information to prepare for what’s to come.

And if you feel uncertain about what to do in the face of a second Trump administration, we invite you to be an indispensable part of Truthout’s preparations.

In addition to covering the widespread onslaught of draconian policy, we’re shoring up our resources for what might come next for progressive media: bad-faith lawsuits from far-right ghouls, legislation that seeks to strip us of our ability to receive tax-deductible donations, and further throttling of our reach on social media platforms owned by Trump’s sycophants.

We’re preparing right now for Trump’s Day One: building a brave coalition of movement media; reaching out to the activists, academics, and thinkers we trust to shine a light on the inner workings of authoritarianism; and planning to use journalism as a tool to equip movements to protect the people, lands, and principles most vulnerable to Trump’s destruction.

We urgently need your help to prepare. As you know, our December fundraiser is our most important of the year and will determine the scale of work we’ll be able to do in 2025. We’ve set two goals: to raise $136,000 in one-time donations and to add 1440 new monthly donors by midnight on December 31.

Today, we’re asking all of our readers to start a monthly donation or make a one-time donation – as a commitment to stand with us on day one of Trump’s presidency, and every day after that, as we produce journalism that combats authoritarianism, censorship, injustice, and misinformation. You’re an essential part of our future – please join the movement by making a tax-deductible donation today.

If you have the means to make a substantial gift, please dig deep during this critical time!

With gratitude and resolve,

Maya, Negin, Saima, and Ziggy