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  • 7/9/2025
During a Senate Health, Education, Labor and Pensions Committee hearing on Wednesday, Sen. Bernie Sanders (I-VT) spoke about cuts to healthcare in the Republican budget.
Transcript
00:00The chair recognizes Senator Sanders.
00:04Thank you, Mr. Chairman.
00:09Dr. Galvani, you and your colleagues at Yale and the University of Pennsylvania have estimated
00:19that 51,000 people will die each year as a result of this reconciliation bill.
00:26How did you come up with those estimates?
00:29Our estimates are based on the congressional budget calculation that 17 million people are poised to lose health care.
00:41We can then compare from empirical studies the rates of mortality, age stratified mortality,
00:50for people who are insured versus uninsured.
00:53There's about a 40% higher rate of mortality for those people and that's how we generated that number.
01:00In addition, the University of Pennsylvania calculated the impacts of nursing home,
01:08changes to nursing home safety procedures and pharmaceutical, the removal of pharmaceutical subsidies for seniors and Medicare.
01:20A moment, I'm sorry he left.
01:25Senator Usted thought that this legislation would be a positive for rural hospitals,
01:31quoted a statement from some folks in Ohio.
01:35The University of North Carolina has estimated that this legislation will cause over 335 rural hospitals in America
01:47to shut down or substantially reduce the services they provide.
01:52Mr. Weissman, what is your sense about how this legislation will impact rural hospitals throughout the country?
01:58Although I'm from Ohio, I don't know what that reference was.
02:03But I think the best evidence is it will be devastating for rural hospitals.
02:07And the $50 billion was about a third of what's going to be lost overall for rural hospitals from the bill.
02:14I think what you just said is really important.
02:17A significant number will close.
02:19Others that stay open will massively scale back the services they offer.
02:24And as we know, what that means for people in rural America is that they're going to not get access to care.
02:31Often the rural hospital is not just one of many hospitals, it's the one that they can go to and the choice is to not go at all.
02:40There are also economic linchpins and community centers.
02:44We're going to see really the deatomization of rural America worse as a result of this Medicaid cutback.
02:51Okay.
02:55Ms. Stevenson, I know that you're not the CEO of your hospital.
02:59Do you have any thoughts about the impact of the reconciliation bill on rural hospitals?
03:04Certainly, we are spending a lot of time doing evaluation of that right now.
03:09Because it's so recent, I don't have any details.
03:11However, I can tell you that any cuts for organizations, if that were to arise, depending on how that's appropriated throughout the states,
03:20it means fewer dollars to invest in, whether that's for patient care or it's for cybersecurity.
03:26So more to come, but we are certainly watching it closely.
03:32Dr. Galvani and Mr. Weissman talked a little bit about rural hospitals.
03:38We talked about the impact on primarily low-income and working-class people who will lose their health care.
03:44According to a recent survey, 27% of nursing homes in America.
03:49And that's just an issue, Mr. Chairman, we don't talk about enough.
03:52I can tell you that in Vermont, nursing homes are struggling.
03:55But this bill will make that situation even worse.
04:01There are estimates that up to 27% of nursing homes indicating that they will be forced to shut down,
04:09and 58% are reducing their staff as a result of the bill.
04:13Anybody want to comment on the impact of this legislation on nursing homes?
04:18Rob?
04:19Well, as you know, Medicaid is how most people pay for nursing homes.
04:24Medicaid also provides reimbursement to people for Medicare costs who are living in nursing homes.
04:29That's going to be restricted.
04:31I know this from a personal experience.
04:34Many of us do.
04:35Nursing homes provide crucial assistance for people in their later years.
04:39If they can't go, which is what it means, there's incredible suffering that's going to take place,
04:44and intolerable burdens on the families as a result.
04:49Okay.
04:50Well, thank you very much.
04:52Well, among the half-truths being promulgated, the nursing homes are carved out of this legislation.
04:57So, I'm not sure how they're going to be affected.
04:59That said, let's go with some real...
05:01Oh, Mr. Chairman.
05:02No, I'm sorry.
05:03I got the gavel.
05:04No, I got the gavel, Bernie.
05:05This is about cybersecurity.
05:07Thank you all for those...

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