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America Dissected

A Big Brutal Bill

America Dissected

Incision Media LLC

Politics, News, Society & Culture

4.64.4K Ratings

🗓️ 10 July 2025

⏱️ 57 minutes

🧾️ Download transcript

Summary

Abdul and Katelyn catch up on a harrowing week in public health, after Republicans passed Trump’s mega bill. They discuss: New work requirements for Medicaid and SNAP beneficiaries Why rural hospitals risk closure due to the upcoming changes to Medicaid New renewal requirements for people who buy health insurance on the Affordable Care Act marketplaces A new high in measles cases, which now jeopardize our “elimination status” distinction A recent court ruling that halts RFK Jr’s plans to restructure HHS Then Abdul talks to Dr. Andres Lopez from the Coalition of Communities of Color about their organization's innovative work in community data collection. This interview was produced in collaboration with our sponsor deBeaumont Foundation. Check out our shop at store.americadissected.com for our new America Dissected merch – including logo shirts, hoodies and mugs. And don’t miss our “Vaccines Matter. Science Works.” t-shirts! This show would not be possible without the generous support of our sponsors. America Dissected invites you to check them out. This episode was brought to you by: Quince: Go to Quince.com/AD for free shipping on your order and 365-day returns. Boll & Branch: Get 20% off plus free shipping on your first set of sheets at BollAndBranch.com /AD.

Transcript

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0:00.0

And in one fell swoop, Republicans decide to decimate Medicaid to pass a tax cut for the richest people in America in one big, brutal bill.

0:16.3

This is America Desected. I'm your host, Dr. Abdu L. Seid.

0:19.0

And I'm your co-host, Dr. Caitlin Jettolina.

0:24.7

And we're recording this on Tuesday, July 8th at 11 a.m. Eastern time.

0:32.1

All right. Let's, it's been a minute first.

0:36.8

Caitlin, let's talk about happy things for a second. It was July 4th. How did you spend your July 4th? We went up to the

0:38.7

mountains. Uh, and it was lovely. It was some fresh, clean air. There's this really small town that

0:45.4

had this 4th of July parade and, uh, stayed in a cabin and unplugged. It was exactly what I needed after that crazy July 4th week. How about you?

0:58.1

Good for you. So I marched in three July 4th parades in one town, which was lovely.

1:06.6

And then I got to have a couple days off, which was really lovely as well. I think it was the first couple of days off I've had in months, which I really enjoyed, got to hang out with the girls.

1:15.7

And we did some fireworks with neighbors.

1:19.2

We grilled steak.

1:20.7

Like we did all the great American traditions as Donald Trump was gutting Medicaid.

1:26.7

So let's let's get on, go ahead and get on, get on to that.

1:31.6

So the big ugly bill, which Republicans passed last week, will take Medicaid away from an estimated

1:36.7

12 million Americans over the next decade. And I'm sure you've heard that stat thrown around

1:41.8

in the news. We wanted to spend some time here just talking about how that's going to materialize. So they're starting this in 2026, in the most

1:49.4

politically sneaky way, they're starting this after 2026, after the midterms. And what will happen

1:54.6

is not that Medicaid will just go away. It's that people are going to have to work a lot harder

1:58.5

to prove out their Medicaid access.

2:01.6

They have to prove that they're working or volunteering or attending school at least 80 hours

2:05.1

a month. Or they have to have an exemption, such as caring for a child under the age of 14.

...

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