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  1. Please copy and paste into the forms on the websites of your members of Congress and share with friends. congress.gov/contact-us

    Dear Sen / Rep --

    I need you to take immediate steps to fix the changes coming to the 340B Drug Pricing Program.

    Right now, the existing 340B Drug Pricing Program sells critical drugs (such as those for chemotherapy) at 20-50% discounts to safety-net hospitals that serve a significant number of low-income patients.

    But this Republican Administration wants to change the program, forcing hospitals to pay the full price for the drugs, then get reimbursed later by the drug companies.

    Set to begin Jan. 1, the amended pilot for the 340B Drug Pricing Program specifies "timely" rebates on select drugs from pharmaceutical companies that are involved in the Medicare Drug Price Negotiation Program.

    Most safety-net hospitals are nonprofits, and many of these are already at risk of closure. A recent study by the Chartis Center for Rural Health determined that the national median operating margin for rural hospitals is 1.0%, and 46% of rural hospitals are at risk of closing.

    These hospitals literally do not have the money to pay the full for-profit price for these critical medications. These safety-net hospitals also don't have the kinds of cash flow that can allow them to wait a month or two for the reimbursements to show up.

    I don't care how you fix this, but I need you to fix this.
    #Resist #ResistOfTheDay #Healthcare #RuralHospitals

  2.  Governor Tate Reeves still refuses Medicaid expansion. He does make time for one thing every April. He is the only governor in America who still proclaims Confederate Heritage Month. #Mississippi #Medicaid #RuralHospitals

  3. Rural Ozarks hospitals adjusting to Medicare, Medicaid cuts from President Trump’s ‘One Big Beautiful Bill’

    SPRINGFIELD, Mo. (KY3) -The “One Big Beautiful Bill” act signed by President Trump last summer includes nearly $1…
    #NewsBeep #News #US #USA #UnitedStates #UnitedStatesOfAmerica #Healthcare #BBB #BigBeautifulBill #cuts #Health #hospital #Medicaid #Medicare #obbb #OneBigBeautifulBill #PresidentTrump #ruralhospitals #Trump
    newsbeep.com/us/715624/

  4. Texas: Healthcare Is Infrastructure

    By Cliff Potts, CSO
    Editor-in-Chief, WPS News

    Baybay City, Leyte, Philippines — June 5, 2026, 9:15 p.m. PHT

    Texas talks about infrastructure as if it begins and ends with roads and power lines. That narrow view has cost people their health, their savings, and, in too many cases, their lives. Healthcare is not a side issue. It is not a perk. It is infrastructure in the most literal sense: a system without which nothing else functions properly.

    A state that cannot keep its people healthy cannot keep its economy stable, its workforce productive, or its communities resilient. Texas has ignored that reality for decades, and the consequences are now impossible to miss.

    Access Is the First Failure

    In large stretches of rural Texas, hospitals have closed or are barely hanging on. Clinics operate on reduced hours. Specialty care is often hundreds of miles away. In cities, the problem flips: emergency rooms are overloaded, appointment wait times stretch for months, and patients delay care until problems become crises.

    This is not a coincidence. It is the predictable outcome of policy choices that treated healthcare as a private market problem rather than a public system. When access depends primarily on income, employment, or zip code, large portions of the population are effectively excluded.

    A functioning infrastructure serves everyone. Healthcare in Texas does not.

    Cost as a Barrier, Not a Feature

    Even Texans who technically have access to care often avoid using it. Deductibles are high. Copays are unpredictable. Prescription costs are punitive. The result is delayed treatment, unmanaged chronic conditions, and preventable emergencies.

    This cost structure does not save money. It shifts costs. Problems that could have been managed early become expensive interventions later. Emergency care replaces primary care. Disability replaces productivity.

    Calling this efficient is a misunderstanding of basic systems thinking.

    Rural Texas Is Carrying the Heaviest Load

    Rural communities are often invoked rhetorically in Texas politics. In practice, they are routinely neglected. Hospital closures in rural areas do not just remove healthcare access; they destabilize entire local economies. Hospitals are major employers. When they close, jobs vanish, businesses suffer, and population decline accelerates.

    Telemedicine offers promise, but only when paired with reliable broadband, local clinics, and trained staff. Technology cannot replace physical access entirely. It can support it. Pretending otherwise is another form of denial.

    If Texas wants rural communities to survive, healthcare has to be part of the plan.

    Mental Health Is Healthcare

    Texas has consistently underfunded mental health services. The result is visible everywhere: overwhelmed emergency rooms, jails functioning as de facto treatment centers, families left without support, and individuals cycling through crisis without stability.

    Mental health is not separate from physical health. Stress, trauma, addiction, and untreated illness ripple outward into education outcomes, workplace safety, and public safety. Ignoring mental health does not make it go away. It makes it more expensive and more destructive.

    A serious healthcare infrastructure treats mental health as essential, not optional.

    Work, Insurance, and Instability

    Tying healthcare primarily to employment has become increasingly unstable in a labor market defined by gig work, contract employment, and frequent job changes. Texans working multiple jobs often find themselves uninsured or underinsured despite working full time or more.

    This instability undermines both workers and employers. Healthy workers are more productive, more reliable, and less likely to leave the workforce. A system that makes healthcare contingent on job status in an unstable economy is structurally mismatched to reality.

    Infrastructure adapts to conditions. Texas healthcare policy has not.

    Prevention Is the Cheapest Investment

    Preventive care saves lives and money. Regular checkups, screenings, vaccinations, and early interventions reduce long-term costs dramatically. Texas’s current system discourages prevention by making it expensive, inconvenient, or inaccessible.

    This approach guarantees higher spending down the line. Chronic conditions worsen. Emergency interventions multiply. Public costs rise even as outcomes decline.

    A state that claims to value fiscal responsibility should understand this math.

    Healthcare and Public Health

    Public health capacity matters most when crises hit. Pandemics, heat waves, natural disasters, and environmental exposures all test healthcare systems. Texas has repeatedly entered these moments underprepared, relying on improvisation instead of planning.

    Public health infrastructure requires steady funding, data collection, coordination, and trust. Undermining public health institutions for political gain weakens the state’s ability to respond when it matters most.

    Competence in quiet times determines survival in emergencies.

    What a Functional System Would Look Like

    A functional Texas healthcare system would prioritize access, affordability, and stability. It would support rural hospitals. Expand primary and preventive care. Integrate mental health services. Use telemedicine intelligently. Coordinate with education, labor, and infrastructure policy.

    It would not rely on emergency rooms as a substitute for primary care. It would not force families to choose between treatment and financial ruin. And it would not pretend that market forces alone can solve systemic problems.

    Why This Is a Governance Issue

    Healthcare debates in Texas often devolve into ideology. That is a mistake. This is not about political identity. It is about system performance. Roads that collapse are repaired. Power grids that fail are scrutinized. Healthcare systems that break should be treated the same way.

    Governing responsibly means maintaining the systems people depend on every day, even when doing so is politically inconvenient.

    The Cost of Doing Nothing

    Doing nothing is not neutral. It has a cost, and Texas is already paying it—in lost productivity, strained families, and preventable suffering. Those costs will rise as the population grows and ages.

    Healthcare is infrastructure. Treating it as anything less ensures continued failure.

    Why This Matters Going Forward

    Every topic in this series intersects with healthcare. Work. Education. Public safety. Disaster response. Economic stability. None of them function without a healthy population.

    Texas can build a healthcare system that supports its people and strengthens its economy. Or it can continue to patch holes and hope the system holds.

    Hope is not infrastructure.

    This essay will be archived as part of the ongoing WPS News Monthly Brief Series available through Amazon.

    References (APA)
    Texas Department of State Health Services. (2025). Healthcare access and rural hospital capacity in Texas.
    Kaiser Family Foundation. (2025). Health insurance coverage and affordability in Texas.
    Centers for Disease Control and Prevention. (2025). Preventive care and public health outcomes.
    National Rural Health Association. (2025). Rural healthcare infrastructure and economic impact.
    Texas Health and Human Services Commission. (2025). Mental health services and system capacity.

    #healthcareAccess #infrastructure #MentalHealth #publicHealth #ruralHospitals #TexasHealthcare #TexasPolicy #WPSNews
  5. Mounting pressure grows as Senator Susan Collins warns H.R. 1’s Medicaid cuts risk closing 338 rural hospitals, threatening Republican strongholds. As rural facilities like Aroostook Medical Center face shutdowns, Collins calls for urgent evidence to overhaul policy impacting critical emergency care. Full story: alternet.org/gop-senator-rural #DonaldTrump #Medicaid #ruralhospitals #SusanCollins #HROne #healthcarepolicy #Republicans #Senate #Maine #Politico #UNC #ShepsCenter Thanks to Kent Nishimura for the report.

  6. The GOP megalaw threatens a flooded hospital’s future

    When Hurricane Helene forced a rural Tennessee hospital into a dramatic rooftop evacuation last September, its top executive…
    #NewsBeep #News #Headlines #healthcare #HurricaneHelene #JoshHawley #ruralhospitals #taxcuts #UnitedStates #Us #USA #WhiteHouse
    newsbeep.com/81207/

  7. These Are the Communities Most Likely to be Hurt By Hospital Closures and Medicaid Cuts

    As Congress negotiated the details of the “One Big Beautiful Bill,” a parade of independent analyses warned about…
    #NewsBeep #News #Headlines #Featured #healthcare #Medicaid #Medicare #Republicans #ruralhospitals #taxcuts #UnitedStates #Us #USA
    newsbeep.com/25497/

  8. #NativeAmericaCalling: Residents brace for #Medicaid and #FoodAssistance cuts

    Tuesday, July 8, 2025

    "The Congressional Budget Office estimates the spending bill just signed by President Donald Trump will increase the number of people without #HealthInsurance by 16 million over the next ten years.

    "The $1.1 trillion cuts to Medicaid will also affect #NativeAmericans who rely on it to pay for health care through the #IndianHealthService and threatens #RuralHospitals with a high rate of Medicaid-dependent patients. The new spending plan also substantially reduces the number of people who will collect food assistance through the federal government.

    "Tune in to get insights on what these numbers mean for Native Americans who disproportionately rely on these two federal government programs.

    "Also, find out about the significance of the new Indigenous head of #Mexico’s #SupremeCourt. #HugoAguilarOrtiz (#Mixtec) took office on June 1 following judicial elections in Mexico."

    Listen:
    indianz.com/News/2025/07/08/na

    #NativeAmericanNews #BigUglyBill #Genocide #CorporateColonialism #FoodInsecurity #FoodIsLife #HealthCare #LandBack #FightBack #RiseUp #Colonialism #Fascism #Authoritarianism

  9. @w7voa The #Trump -tainted #UnitedStates is firing #scientists , diplomats, #ExtremeWeather forecasters and emergency managers. It’s also accelerating the closure of #RuralHospitals so #healthcare workers will be fired en masse across the country.

    So who *is* getting hired? And what is being *built*?

    #DonaldTheDeplorable is massively *hiring* #ICE kidnappers and building #ConcentrationCamps to fill with brown people at first. Next? newsweek.com/immigration-ice-b

    #Resist the #BigUglyBill.

  10. With the VA destroyed, farms obliterated, rural hospitals gone, and everyone in a panic, who is going to feed your glorious troops, General Dunce? Admiral Surrender? With millions dead from the "heartland" you heavily recruit from, I guess ICE will be our new army, and Stephen Miller will be its leader.

    Trump outsmarted you all. This is WWII Germany and you are the Nazis. You! Look in the f**king mirror! Sir.

    Also, it might be easier for you to salute back if you got your heads out of the ass of a New York fascist. Sir.

    libretooth.gr/@dougiec3/114767

    #Army #Navy #AirForce #Marines #USpolitics #farms #farmers #recruits #recruiting #VA #VAhospitals #hospitals #rural #RuralHospitals

  11. John Thune's leadership faces friction as Senate Republicans push Trump's One Big Beautiful Bill Act before the Fourth of July. Resistance from conservatives, particularly Josh Hawley, centers on Medicaid changes seen as harmful to rural hospitals. While GOP leaders press on, they lack the votes needed for passage, with some calling for deeper cuts and a pause for clarity. Explore the full complexities of this political maneuvering in the article.

    #JohnThune #JoshHawley #SenateRepublicans #Medicaid #Trump #Healthcare #RuralHospitals #Legislation #GOP #TaxCuts alternet.org/gop-hawley/

  12. Jasmine Crockett nails a rural hospital truth to Chris Hayes’s question. I’ve got the real answer!

    Rep. Jasmine Crockett says that rural hospitals will be hurt most, as Chris Hayes questioned why the powerful hospital lobby is absent from fighting against the Big Beautiful bill. Here’s the answer.

    #ChrisHayes #JasmineCrockett #ruralHospitals

    wp.me/p1OjMZ-nRz

  13. Conservative CEO of rural hospital slams Medicaid cuts, inferring they will kill rural healthcare.

    Kevin Stansbury, CEO of rural Lincoln Community Hospital and Care Center, clarifies that the hospital could not survive Medicaid cuts.

    #DonBacon #JuanCiscomani #KevinStansbury #MikaBrzezinski #ruralHospitals

    wp.me/p1OjMZ-nGF

  14. DATE: March 10, 2025 at 08:57AM
    SOURCE: HEALTHCARE INFO SECURITY

    Direct article link at end of text block below.

    What sort of #cybersecurity help do #ruralhospitals need most? t.co/23G7Jya5ay

    Here are any URLs found in the article text:

    t.co/23G7Jya5ay

    Articles can be found by scrolling down the page at healthcareinfosecurity.com/ under the title "Latest"

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    Private, vetted email list for mental health professionals: clinicians-exchange.org

    Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information.

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    #security #healthcare #doctors #itsecurity #hacking #doxxing #psychotherapy #securitynews #psychotherapist #mentalhealth #psychiatry #hospital #socialwork #datasecurity #webbeacons #cookies #HIPAA #privacy #datanalytics #healthcaresecurity #healthitsecurity #patientrecords @infosec #telehealth #netneutrality #socialengineering

  15. DATE: March 07, 2025 at 04:57PM
    SOURCE: HEALTHCARE INFO SECURITY

    Direct article link at end of text block below.

    Are Efforts to Help Secure #RuralHospitals Doing Any Good? t.co/KCQJTtoNf2

    Here are any URLs found in the article text:

    t.co/KCQJTtoNf2

    Articles can be found by scrolling down the page at healthcareinfosecurity.com/ under the title "Latest"

    -------------------------------------------------

    Private, vetted email list for mental health professionals: clinicians-exchange.org

    Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information.

    -------------------------------------------------

    #security #healthcare #doctors #itsecurity #hacking #doxxing #psychotherapy #securitynews #psychotherapist #mentalhealth #psychiatry #hospital #socialwork #datasecurity #webbeacons #cookies #HIPAA #privacy #datanalytics #healthcaresecurity #healthitsecurity #patientrecords @infosec #telehealth #netneutrality #socialengineering

  16. DATE: November 20, 2024 at 09:13AM
    SOURCE: HEALTHCARE INFO SECURITY

    Direct article link at end of text block below.

    Are #cybercriminals targeting small, #ruralhospitals? t.co/FegP7Jtjzh

    Here are any URLs found in the article text:

    t.co/FegP7Jtjzh

    Articles can be found by scrolling down the page at healthcareinfosecurity.com/ under the title "Latest"

    -------------------------------------------------

    Private, vetted email list for mental health professionals: clinicians-exchange.org

    Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information.

    -------------------------------------------------

    #security #healthcare #doctors #itsecurity #hacking #doxxing #psychotherapy #securitynews #psychotherapist #mentalhealth #psychiatry #hospital #socialwork #datasecurity #webbeacons #cookies #HIPAA #privacy #datanalytics #healthcaresecurity #healthitsecurity #patientrecords @infosec #telehealth #netneutrality #socialengineering

  17. DATE: October 29, 2024 at 08:37AM
    SOURCE: HEALTHCARE INFO SECURITY

    Direct article link at end of text block below.

    What sort of #cybersecurity help do small and #ruralhospitals need the most? t.co/CA1OteLUcx

    Here are any URLs found in the article text:

    t.co/CA1OteLUcx

    Articles can be found by scrolling down the page at healthcareinfosecurity.com/ under the title "Latest"

    -------------------------------------------------

    Private, vetted email list for mental health professionals: clinicians-exchange.org

    Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information.

    -------------------------------------------------

    #security #healthcare #doctors #itsecurity #hacking #doxxing #psychotherapy #securitynews #psychotherapist #mentalhealth #psychiatry #hospital #socialwork #datasecurity #webbeacons #cookies #HIPAA #privacy #datanalytics #healthcaresecurity #healthitsecurity #patientrecords @infosec #telehealth #netneutrality #socialengineering

  18. August 1, 2024 - President's Letter | #AlbertaMedicalAssociation albertadoctors.org/services/me “There is no imminent help to keep #RuralGeneralist physicians in their clinics – not to mention the #RuralHospitals that utterly depend on their presence to run #EmergencyDepartments. Meanwhile, #AcuteCare, gutted by the pandemic, has been overwhelmed by increased illness and complex disease in patients…Our colleagues have continually been told to do more with less and just make it work.”

  19. DATE: June 11, 2024 at 08:40AM
    SOURCE: Healthcare Info Security
    .
    Direct article link at end of text block below.
    .
    Why are #Google and #Microsoft offering free #cybersecurity help to #ruralhospitals? t.co/IR2bBWxlPw
    .
    Articles can be found by scrolling down the page at healthcareinfosecurity.com/ under the title "Latest"

    ~~~~~~~~~~~~~~~~~~~
    Private, vetted email list for mental health professionals: clinicians-exchange.org
    .
    Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information.
    .
    #security #healthcare #doctors #itsecurity #hacking #doxxing #psychotherapy #securitynews #psychotherapist #mentalhealth #psychiatry #hospital #socialwork #datasecurity #webbeacons #cookies #HIPAA #privacy #datanalytics #healthcaresecurity #healthitsecurity #patientrecords @infosec #telehealth #netneutrality #socialengineering

  20. DATE: June 10, 2024 at 04:40PM
    SOURCE: Healthcare Info Security
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    Direct article link at end of text block below.
    .
    @Microsoft , @Google Offering Cyber Help to #RuralHospitals t.co/opoU8gTVue
    .
    Articles can be found by scrolling down the page at healthcareinfosecurity.com/ under the title "Latest"

    ~~~~~~~~~~~~~~~~~~~
    Private, vetted email list for mental health professionals: clinicians-exchange.org
    .
    Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information.
    .
    #security #healthcare #doctors #itsecurity #hacking #doxxing #psychotherapy #securitynews #psychotherapist #mentalhealth #psychiatry #hospital #socialwork #datasecurity #webbeacons #cookies #HIPAA #privacy #datanalytics #healthcaresecurity #healthitsecurity #patientrecords @infosec #telehealth #netneutrality #socialengineering

  21. latimes.com/california/story/2
    If #Urban hospital employees will make $23 in June of 2024, $24 in 2025 and $25 in 2026 while their counterparts in #Rural hospitals will make $18 in 2024 and $25 not until 2033; who wants to work at a rural hospital at all?
    The argument is that #RuralHospitals can’t afford to raise pay at the same rate as #UrbanHospitals.
    But if rural employees jump to urban hospitals, there won’t be any rural hospitals left.
    And none of this is actually budgeted.
    #Budget #Shortfall

  22. Struggling to Survive, the First Rural Hospitals Line Up for New Federal Lifeline

    Facilities that convert to Rural Emergency Hospital status will get a 5% increase in Medicare payments as well as an average annual facility fee payment of about $3.2 million in exchange for giving up their expensive inpatient beds and focusing solely on emergency and outpatient care. - KHN.bit.ly/41P6S7x

    #ruralhospitals #ruralhealth #Medicare #rural #hospitals

  23. Texas Town Tries a New Model for Saving Rural Health Care

    Revamped facilities will transfer people who need inpatient care to full-service hospitals nearby.

    But for many rural communities, such conversions to fewer services will be a bitter pill to swallow. — Stateline bit.ly/3ILI2xP

    #rural #ruralhospitals #medicare #medicaid

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