THE PINCH OF MEDICAID CUTS in President Donald Trump’s “One Big Beautiful Bill” of tax and spending measures will be felt in nursing homes and hospitals in rural and underserved communities, including ones in or near the Bay Area.

Medicaid is government-funded health coverage for lower-income individuals, as opposed to Medicare, which is funded mostly by a combination of payroll taxes and low premiums for people over age 65.

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Ruth Dusseault is an investigative reporter and multimedia journalist focused on environment and energy. Her position is supported by the California local news fellowship, a statewide initiative spearheaded by UC Berkeley aimed at supporting local news platforms. While a student at UC Berkeley’s Graduate School of Journalism (c’23), Ruth developed stories about the social and environmental circumstances of contaminated watersheds around the Great Lakes, Mississippi River and Florida’s Lake Okeechobee. Her thesis explored rights of nature laws in small rural communities. She is a former assistant professor and artist in residence at Georgia Tech’s School of Architecture, and uses photography, film and digital storytelling to report on the engineered systems that undergird modern life.