The following is the opinion and analysis of the writer:

Frank Hagel
When Rep. Juan Ciscomani voted for the widely unpopular 鈥淥ne Big Beautiful Bill,鈥 he didn鈥檛 just back a Republican initiative, he backed a bill that could cause tens of thousands of his own constituents to lose health coverage. The effects will hit especially hard in Southern 蜜柚直播 counties like Pinal and 蜜柚直播, where access to care is already fragile.
According to the nonpartisan Joint Economic Committee, nearly 32,000 residents of Congressional District 6, which includes parts of Pima, Pinal, 蜜柚直播, and Greenlee counties, stand to lose health insurance now that this has become law. That includes over 16,900 people losing Medicaid and another 15,000 losing Affordable Care Act marketplace coverage. This isn鈥檛 just a budget maneuver 鈥 it鈥檚 a direct threat to healthcare access for working families, seniors, and children.
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Southern 蜜柚直播 is not immune from the broader crisis. In Pinal County, about 13% of residents under 65 are uninsured, and more than 11% live with disabilities. Roughly 21% of the population is over 65, many of whom depend on Medicaid for long-term care, prescriptions, and support services. The proposed bill would shrink federal Medicaid support over the next decade, resulting in coverage losses and forcing hard choices on state budgets and local healthcare providers.
Rural hospitals and clinics are especially vulnerable. The 蜜柚直播 Center for Rural Health estimates the bill could pull $1.2 billion from rural hospital systems over ten years. In counties like 蜜柚直播 and rural parts of Pinal, where just reaching a hospital can require a 30- to 60-minute drive, the consequences could be deadly. Many smaller hospitals rely heavily on Medicaid reimbursements to stay open. Loss of funding could force closures of emergency rooms and maternity wards, leaving vast regions without accessible care.
One of the most damaging provisions in the bill is the implementation of new work requirements for Medicaid. Beginning in 2026, able-bodied adults without dependents will be required to document 80 hours of work per month to keep their coverage. That may sound reasonable in theory, but in practice, it risks throwing thousands off the rolls due to paperwork errors, unstable job schedules, or lack of internet access. These are not freeloaders; they are grocery clerks, landscapers, temp workers, and caregivers. They鈥檙e our neighbors.
It鈥檚 also important to understand the demographics of Ciscomani鈥檚 district. Roughly 25% of his constituents are Hispanic, and many face language, transportation, or digital access barriers that could make compliance with new Medicaid rules more difficult. For these communities, red tape isn鈥檛 just frustrating, it can be life-threatening.
Women and children also face steep consequences. Medicaid pays for nearly half of all rural births in 蜜柚直播. Cuts to funding may force hospitals to close or eliminate obstetric care, meaning some women could have to drive two to three hours just to deliver a baby. In emergencies, that delay could be catastrophic.
Supporters of the bill argue that it鈥檚 about restoring fiscal responsibility. But that claim rings hollow when the same bill maintains tax cuts for wealthy corporations and high-income earners while gutting programs that support vulnerable families. This is not about tightening belts, it鈥檚 about shifting burdens. Ciscomani鈥檚 vote prioritizes political talking points over the real-life needs of the district he represents.
There鈥檚 nothing 鈥渂eautiful鈥 about watching your neighbor lose coverage because they missed a form. There鈥檚 nothing 鈥渇ree鈥 about seniors in Pinal County being forced to choose between prescriptions and groceries. And there鈥檚 nothing 鈥淎merican鈥 about forcing women to drive 150 miles to deliver a child safely.
Congressman Ciscomani had a choice. He could have stood with southern 蜜柚直播 and voted against a bill that experts agree will result in widespread coverage loss, particularly in the very counties he represents. Instead, he celebrated its passage. That vote will have consequences, not just in Washington, but in hospital wards and kitchen tables across 蜜柚直播.
We deserve leaders who protect access to healthcare, not jeopardize it. In November 2026, voters in District 6 should remember who showed up for their health and who voted to take it away.
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Frank Hagel is a retired nonprofit and small business leader who is committed to fairness for all.