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The American senator Thom Tillis (R-R-NC) speaks to journalists from the American Capitol, in the midst of the debate on the Republican spending bill.

Images Kevin Dietsch / Getty


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Images Kevin Dietsch / Getty


The American senator Thom Tillis (R-R-NC) speaks to journalists from the American Capitol, in the midst of the debate on the Republican spending bill.

Images Kevin Dietsch / Getty

The Massive Budget Budget Bill that the Senate Republicans debate some of its tax reductions by reducing hundreds of billions of dollars to Medicaid expenditure. The latest report from the Office of the Non -Sample Congress Budget estimates that nearly 12 million people will lose health insurance if the Senate of the bill becomes law.

Trump insists that the cuts come from the elimination of waste, fraud and abuse. The Democrats said that they break Trump’s promise not to touch Medicaid – and during the weekend, the North Caroline Republican Senator Thom Tillis accepted. “What am I saying to 663,000 people in two years or three years when President Trump breaks his promise by pushing them from Medicaid because the funding is no longer there?”

We asked Sarah Jane Tribble, the chief rural correspondent of Kff Health News, which the cuts will mean for rural residents of states such as North Carolina – and the hospitals that serve them.

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Send us an email to considerthis@npr.org.

This episode was produced by Kathryn Fink and Connor Donevan with the audio engineering of Tiffany Vera Castro. He was published by Christopher Intagliata, Nadia Lancy and Scott Hensley. Our executive producer is Sami Yenigun.

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