In a Trump-Supporting County, Residents Rely on Medicaid Yet Struggle with Proposed Cuts

In Globe, Arizona, a small copper-mining town east of Phoenix, many residents rely on Medicaid for their health care needs. Debbie Cox, a 65-year-old property manager, sees firsthand how vital this program is for her tenants and the women she helps at a local domestic violence shelter. While she understands the importance of Medicaid, she believes the system needs changes to prevent abuse.

Cox is not alone in her mixed feelings about Medicaid. Many in Globe share her views. The town, located in Gila County, has seen a significant increase in Medicaid enrollment over the past 15 years. Nearly 40% of residents now participate in Medicaid or the Children’s Health Insurance Program. This rise reflects the area’s economic challenges, where many workers have low-wage jobs.

As discussions about potential cuts to Medicaid heat up, residents are concerned. Recently, House Republicans proposed a plan to cut about $716 billion from the program. This has sparked a debate that hits close to home for many in Globe, where people are worried about losing access to essential health care services.

Heather Heisler, a rancher, knows the stakes are high. Her husband has been on Medicaid for years, and she credits the program for providing necessary medical care after he suffered a serious injury. She fears what would happen if he lost that coverage.

The proposed changes would require working-age enrollees to prove they are employed or actively seeking work. Critics argue that this could create barriers for those who need help, as complicated applications may deter eligible individuals from applying. Estimates suggest that over 10 million people could lose their Medicaid coverage under the new plan.

Supporters of Medicaid emphasize its growing importance, especially in rural areas like Globe. Joan Alker, who leads the Georgetown University Center for Children and Families, highlights how Medicaid has filled gaps in the health care system, particularly for low-income and disabled individuals.

Fernando Shipley, a former mayor of Globe, points out that many Medicaid recipients are working hard but still struggle to make ends meet. He notes that a single parent earning $20 an hour may find it difficult to support a family.

At the local hospital, low-wage workers also rely on Medicaid for their health care. CFO Harold Dupper explains that without Medicaid, many of these workers would not be able to afford necessary medical services.

Despite the political push for cuts, there seems to be a shift in how some conservative voters view Medicaid. Polls indicate that many now recognize the government’s role in providing health care. Bob Ward, a pollster, notes that if health care is threatened, it could lead to significant backlash from voters.

In Globe, conversations about Medicaid reveal a community grappling with the balance between fiscal responsibility and the need for accessible health care. As the debate continues, residents are left wondering how potential changes could impact their lives and the lives of their neighbors.