Healthcare and care infrastructure fights threaten workers and families

Federal Medicaid cuts and work-reporting requirements threaten coverage, staffing, behavioral-health services, rural ambulance access, and care for immigrant families. Marketplace restoration after 760,000 removals remains incompletely documented; proposed 2027 costs include 15% median ACA premium increases and 8–10% employer-plan cost growth. Oregon’s developing universal-care proposal offers a state alternative, but its payroll-tax design, projected savings, legislative path, and resistance from hospitals and other interests remain unresolved.