The reconciliation legislation formerly known as the One Big Beautiful Bill Act includes numerous provisions that will lead to tens of millions of Medicaid beneficiaries being disenrolled, and may lead to the closure of over 300 rural hospitals, dramatically increasing the number of Americans who will lose access to health care. The Congressional Budget Office estimates that 14 million people could lose health insurance coverage by 2034, and rural communities are expected to be especially hard-hit. In today’s episode, Aaron brings his day job as AcademyHealth CEO into the show, sharing the latest findings, policy battles, and what it all means for real people. Special thanks to Josh Caplan, and Lindsey Randall, from whose Academy Health blog post this episode was adapted: https://academyhealth.org/blog/2025-07/coming-rural-health-access-catastrophe-ahrq-more-important-ever Related HCT episodes: Reproducibility Crisis in Medical Research (podcast): https://www.healthcaretriage.info/reproducibility-podcast Be sure to check out our podcast! https://www.youtube.com/playlist?list=PLkfBg8ML-gInFaYyYhKLBp2u7h5IojTw4 Other Healthcare Triage Links: 1. Support the channel on Patreon: http://vid.io/xqXr 2. Check out our Facebook page: http://goo.gl/LnOq5z 3. We still have merchandise available at http://www.hctmerch.com 4. Aaron's book "The Bad Food Bible: How and Why to Eat Sinfully" is available wherever books are sold, such as Amazon: http://amzn.to/2hGvhKw Credits: Aaron Carroll -- Writer Tiffany Doherty -- Writer and Script Editor John Green -- Executive Producer Stan Muller -- Director, Producer Mark Olsen – Art Director, Producer