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Title : In Brief: Repealing Obamacare Will Wreck Some Towns and Cities
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In Brief: Repealing Obamacare Will Wreck Some Towns and Cities

Yesterday, NPR did a story on Steubenville, Ohio, a former coal town in the eastern part of the state. The unemployment rate of 7% is above the state and national numbers, and the entire area now relies on another industry for a great many of its jobs: health care. Yeah, Trinity Health System "provides about 1,500 full-time jobs and close to 500 part-time jobs, more than Jefferson County's top 10 manufacturing companies combined."

Jefferson County has a lot of pretty damn poor people and a sadly not unexpected problem with opioid addiction. So the Medicaid expansion was important to the physical health of the region, as well as the financial. If the Republicans get to slash Medicaid in the way it wants to, it'll screw up people's lives in Steubenville in more ways than just medically. A quarter of the private sector jobs in the town are in health care-related fields, with a bunch more dependent on the spending of those workers. In a place teetering on the brink of desperation, gutting Medicaid funding will push it over the edge.

Despite all evidence to the contrary, Republicans insist on calling the Affordable Care Act a "job-killer." But it's very specifically a job creator, and the money that has come into many smaller cities and towns has been a life preserver in the number of workers that hospitals and other medical facilities have had to employ. This goes up and down the economic ladder, from maintenance people to doctors.

In 2015, the New York Times looked at several communities that are surviving because of hospitals that have been flourishing due to the expanded access to medical care under the ACA. Beatrice, Nebraska, the Community Hospital and Health Center is the biggest employer in the area. The same goes for Batesville, Indiana; Centreville, Mississippi; and many more. To put it simply, the only reason a good many people even have jobs in those places is because of the ACA and Barack Obama, the man they were told to despise.

The cuts that most Republicans want will wreck these towns and counties. It's one more effect of the active cruelty of their bill. It's one more way that Democrats should be riling voters up about what the GOP wants to do to them.

And, yes, every town mentioned here voted for Donald Trump, who lied and promised them the sky and can only give them dust.

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