MedCity News October 19, 2025
Dr. Rafid Fadul

Clinging to our old models is equivalent to waiting for failure. We need to embrace the tools, team structures, and delivery models that this ongoing crisis demands.

On July 4, 2025, the “One, Big, Beautiful Bill Act” (OBBBA) was signed into law. Its backers hailed it as a vehicle for growth, while critics called it the quiet dismantling of America’s healthcare safety net.

OBBBA slashes Medicaid and ACA subsidies while inflating the deficit with trillions in tax cuts. Millions stand to lose coverage, and safety-net hospitals will face new financial instability. And rural health systems, already stretched to the breaking point, will be tested like never before.

But there is another angle here. There may be a potential inflection point...

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