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Small-Scale Question Sunday for July 13, 2025

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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No. From the long form:

Community Hospital, the nonprofit that runs the clinic known as the Curtis Medical Center and a couple of other facilities in the region, plunged into the center of that national story when it announced on July 2 — one day before the bill’s passage — that a confluence of factors had made its Curtis outpost unsustainable. It cited years-long financial challenges, inflation and “anticipated federal budget cuts to Medicaid,” the public health insurance program for lower-income and disabled Americans.

I think the underlying op-ed is this piece, which is... not exactly coming across as a neutral evaluation of the facts, or this one, which is better, but still makes it hard for any plausible drop in Medi* use to even be the straw that breaks the camel's back:

In their financial statement for last available financial year (ending June 30, 2024), Community Hospital brought in 6% of their $62 Million in patient service revenue from Medicaid, with about $4.1 Million coming into the hospital from the program. The Hospital operated at a loss of $1.67 Million for that financial year as well. Figures were not available for the most recent financial year (ending June 30, 2025).

In an opinion piece published in the Nebraska Examiner in February, Nebraska Hospital Association President president Jeremy Nordquist said that Medicaid pays for 26% of all emergency room visits in rural hospitals, alongside 33% of all births and 44% of all services to minors. He also said that 54% of rural, independent critical access hospitals are operating at a loss.

A lot of the numbers are coming from that Nebraska Hospital Association, which has been giving worst-case or worse-than-worse-case numbers.

I can certainly believe that the Medicaid changes will have an impact, but Hanania's implication that this was a sole and direct cause that people can't deny only because The Cheetoh has a "spell over them" is about as well-founded as his normal sneers.