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The unprecedented Medicaid cuts that US President Donald Trump and congressional Republicans approved last summer are putting hundreds of hospitals across the country at high risk of cutting services or permanently shutting their doors, a potentially devastating outcome for millions of poor Americans that was repeatedly predicted ahead of time.

The advocacy group Public Citizen released a report Monday identifying 446 hospitals that could be forced to reduce services or close because of the Trump-GOP Medicaid cuts, which will amount to around $1 trillion over the next decade. The at-risk hospitals collectively served 7 million patients in 2024, according to Public Citizen’s analysis.

Nearly 200 of the hospitals listed in Public Citizen’s report are located in congressional districts represented by Republicans who voted for the Medicaid cuts, and 146 are in states represented by Senate Republicans — nearly all of whom........

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