What does it mean when cuts from the 'One Big Beautiful Bill Act' close a rural town's only health care clinic?

The OBBBA cuts billions in federal spending on rural
health care over the next 10 years. (Wikipedia photo)

After the only health care clinic in rural Churchville, Virginia, closed, residents in this 200-person community are struggling to adjust.

"Gone are the days of seniors walking down the road from their house to see the town doctor," reports Eva McKend of CNN News. "Augusta Medical Group cited the health care provisions in the One Big Beautiful Bill Act for closing the rural clinics in Churchville and two other locations."

Even when the clinic's closure means some residents have to drive an hour to Charlottesville to see doctors, community members are reluctant to say anything negative about President Trump or his signature OBBBA legislation.

Across from the town's coffee shop, and just a few feet away from the shuttered clinic, a bold banner waves with the words "Thank you, TRUMP, Save America Again."

Democrats are planning to make health care a "defining issue nationally in next year’s midterms," McKend writes. "But the environment in Churchville illustrates the challenges the party faces, particularly in rural communities."

Dale White, a Churchville resident and church administrator, says the "concerns about the clinic are overblown," McKend writes. White told her, "These are old-time rural farming folks, and they’ve been going to get medical care in Staunton and Fishersville, Waynesboro and Charlottesville since they can remember."

Many rural hospitals, clinics and providers that serve Medicaid patients were struggling to stay afloat before the OBBBA cuts. McKend reports, "The policy research organization KFF estimates that Trump’s bill will cut federal Medicaid spending in rural communities by $137 billion over the next decade."