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John,
Imagine learning that your grandmother’s nursing home is closing. The nearest one with room for her is a three-hour drive away. It doesn’t accept Medicaid, so if your grandmother is among the two-thirds of nursing home patients who are covered by Medicaid, she’s out of luck.
Your grandfather still lives at home. But the hospital near his house is closing, too. If he has a medical emergency, he’ll have to go to an overburdened hospital that’s 40 minutes away.
That’s what will happen if Donald Trump’s so-called “One Big Beautiful Bill” becomes law. There’s nothing beautiful about this hideous betrayal of the American people. Unless you’re a billionaire who can hop in a helicopter to see your private doctor, it will make your health care worse. All to give that same billionaire a giant tax cut.
We can still stop this bill. The Senate is staying in session for a “vote-a-rama,” but they do not have enough public commitments yet to pass the bill. Even if it passes, it will still have to go back through the House of Representatives.
Call BOTH of your Senators right now and urge them to vote no, then call your Representative!
Call (202) 224-3121 right now and ask to speak with both of your Senators, then your Representative. You may need to hang up and call back in order to speak to all 3. Here’s what you can tell them:
As your constituent, I am appalled at the “Big Beautiful Bill,” which slashes Medicaid and gives massive handouts to millionaires and billionaires. We should not enact tax giveaways to billionaires on the backs of working people. I will be watching your votes and keeping them in mind for your next election campaign, and I certainly hope that you will vote NO at every stage.
The Big Ugly Bill cuts a trillion dollars from Medicaid. The Senate version cuts even more than the House version did. Even if you’re not on Medicaid, this will hurt you and your family. That’s because hospitals and nursing homes around the country rely on Medicaid for much of their funding.
If this bill becomes law, over half of nursing homes say they will have to reduce staff, and a quarter say they will close.1 At the nursing homes that remain open, seniors and people with disabilities will wait in agony for someone to take them to the bathroom or give them their pain medication.
Those whose nursing homes close will struggle to find another one with room for them, especially if they rely on Medicaid. If they manage to find one, it will likely be hours away from their loved ones.
This bill is a disaster for people who rely on Medicaid to pay for nursing homes and other long-term care. But it’s also a disaster even for those who don’t directly rely on Medicaid, because it will devastate the entire health care system. Rural areas will be hit hardest but nowhere and no one (except for billionaires) is safe.
Sen. Joni Ernst (R-IA)2 told Iowans concerned about the bill’s Medicaid cuts that “we all are going to die.” Many of us will die faster, including the hundreds of Iowans who will lose their nursing home beds.
In Iowa alone the impact is massive across the entire state and in each vulnerable Republican House District.
In Iowa’s 1st District, represented by Republican Mariannette Miller-Meeks, four nursing homes with a collective 280 beds will close: Aspire of Muscatine (46), Mississippi Valley Healthcare & Rehabilitation Center - Keokuk (83), Iowa City Rehab and Health Care Center - Iowa City (89), and Azria Health Prairie Ridge - Mediapolis (62).
In Iowa’s 2nd District, represented by Republican Ashley Hinson, two nursing homes with a collective 271 beds will close: Heritage Specialty Care - Cedar Rapids (201) and Cedar Falls Health Care Center (70).
In Iowa’s 3rd District, represented by Republican Zach Nunn, two nursing homes with a collective 113 beds will close: Aspire of Perry (46) and Granger Nursing and Rehabilitation Center - Granger (67).
And this story repeats across the entire country. There is no place to hide from the tsunami being unleashed against nursing homes. Anyone who has dealt with the current system knows how bad it is now. It is about to be a whole lot worse. Nursing homes that don’t close outright will become death traps as the demand far outstrips the supply.
All of this needless death and chaos, just so some billionaires can get trillions in tax handouts that they don’t even need.
Sen. Mitch McConnell (R-KY) says Americans who are concerned about Medicaid should “get over it.”3 Sorry, Mitch. We refuse to “get over it,” and we’re not dying quietly.
Polling shows that Americans hate the Big Ugly Bill — if they know about what’s in it. That’s why Republicans are rushing to jam this bill through before an arbitrary July 4th deadline.
Nearly half of Americans are completely unaware of the bill, and only eight percent of them know it cuts Medicaid.
Talk to your friends and family members. Tell them that Republicans are about to cause a nursing home and hospital apocalypse — but it isn’t too late to stop it.
The Senate is voting on the Big Ugly Bill very soon. Then, it goes back to the House of Representatives, where Republicans will try to rush the bill through before the public can learn about it.
Call your Representative and both Senators now at 202-224-3121. The key swing votes in the Senate include Susan Collins of Maine (the oldest, and most rural, state in the country) and Lisa Murkowski of Alaska.
If you know anyone in Maine or Iowa, urge them to call today and tell their Senators to stop the nursing home apocalypse!
Thank you,
Alex Lawson
Social Security Works
1 https://cdn.bsky.app/img/feed_fullsize/plain/did:plc:ornpixmpy5ts36lh7hmi7wkp/bafkreicqycjxpokh2pksj6yh75fumeptaiscdailhvnifoeqoehnzvtxpe@jpeg
2 https://www.npr.org/2025/05/31/nx-s1-5418932/we-all-are-going-to-die-ernst-joni-town-hall-iowa-senator
3 https://www.msnbc.com/opinion/msnbc-opinion/mitch-mcconnell-medicaid-cuts-get-over-it-rcna214978
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