In this rural Colorado valley, cuts to Medicaid would have vast ripple effects

[erronis]

https://www.npr.org/sections/shots-health-news/2025/06/22/nx-s1-5440492/medicaid-cuts-trump-congress-big-beautiful-bill-rural-colorado
John Daley

The Sangre de Cristo mountains loom over Colorado's San Luis Valley. Many in this agricultural region voted for President Trump and are deeply concerned about cuts to Medicaid.

In southern Colorado's San Luis Valley, clouds billow above the towering mountains of the Sangre de Cristo range. A chorus of blackbirds whistle, as they flit among the reeds of a wildlife refuge. Big circular fields of crops, interspersed with native shrubs, give it a feel of bucolic quiet.

Despite the stark beauty in one of the state's most productive agricultural regions, there's a sense of unease among the community's leaders as Congress debates a budget bill that could radically reshape Medicaid, the government health program for low-income people.

"I'm trying to be worried — and optimistic," said Konnie Martin, CEO of San Luis Valley Health in Alamosa. It's the flagship health care facility for 50,000 people in six agricultural counties — Alamosa, Conejos, Costilla, Mineral, Rio Grande and Saguache.

The numbers out of the bill about deep Medicaid cuts were "incredibly frightening," Martin said, "because Medicaid is such a vital program to rural health care."

Martin's hospital is not alone. "I think in Colorado right now, nearly 70 percent of rural hospitals are operating in a negative margin," in the red, Martin said.

. . .

Martinez said recently laid off federal workers are already coming to banks, saying, "'Can I find a way to get my next two months mortgage payments forgiven? Or can we do an extension? Or I lost my job, what can we do to make sure that I don't lose my vehicle?'"

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