By skyforbes 
Medicaid, Hoodoo, and the Fight to Stay Whole.
Help Me Keep Teachin’ One Story at a Time.
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Books to Read after this…
Medical Apartheid – Harriet A. Washington
Exposes centuries of medical abuse against Black bodies.
Black Man in a White Coat – Dr. Damon Tweedy
A Black doctor’s firsthand account of racism in medicine.
Just Medicine – Dayna Bowen Matthew
Legal scholar breaks down bias in healthcare.
Health Justice Now – Timothy Faust
Explains Medicaid, Medicare, and insurance injustice.
The Pain Gap – Anushay Hossain
Centers women of color and healthcare neglect.
Medicaid ain’t just a program—it’s a lifeline.
But what they doin’ behind closed doors?
That’s where the danger lies.
Expansion saves lives, but Trump’s folks pushin’ cuts, caps, and work rules that.
Don’t let nobody bind your healing.
What is Medicaid, really?
Medicaid is that government promise—meant to help folks like us who have been holdin’ it down on low income, makin’ a way outta no way.
It covers doctor visits, hospital stays, medicine, and basic care.
But it ain’t charity.
It’s a right.
Over 90 million people lean on it, and that ain’t by accident.
That’s by design—because this country has been rationing care since jump.
Now, they say ’bout Trump’s Medicaid moves?
Peer-reviewed studies—over 600 of ’em—show that Medicaid expansion under the Affordable Care Act (ACA) helped folks get checkups, cancer screenings, heart care, and peace of mind.
States that expanded Medicaid saw fewer hospital deaths and better health outcomes.
That’s not opinion—that’s data.
But Trump’s crew?
They tryna flip the script.
They’re pushing block grants and per-capita caps, which means states get a set pot of money, regardless of how many people get sick.
That’s like givin’ a mama one loaf of bread and tellin’ her to feed a growin’ family.
If more folks need care, the money runs out.
That’s how you get millions losin’ coverage.
And those work requirements?
They love to frame it like “accountability,” but the truth is, 64% of
Medicaid adults already work.
The rest? They’re sick, in school, or takin’ care of kin.
When Arkansas tried it, 18,000 people lost coverage, but it didn’t lead to more jobs.
It just added red tape.
When the system asks for proof of your worthiness to be healed, that’s a curse in disguise.
What’s goin’ down in 2025?
Trump says he won’t cut Medicaid, but the budget he backs got $2.3 trillion in cuts over 10 years.
That’s the most significant rollback in Medicaid history.
They tryna fund tax cuts and border walls at the expense of our medicine and doctor visits.
That’s not just policy—it’s a ritual of erasure.
What do folks on Medicaid say?
Even Trump voters who use Medicaid say they like it and need it.
But many don’t know these cuts comin’.
That’s how policy becomes shadow work—done in silence, behind the veil.
What does this mean for our people?
If work requirements go national, up to 36 million folks could lose coverage.
That’s mamas carin’ for babies, elders with diabetes, folks with heart conditions.
Without Medicaid, they might not catch cancer early.
Some might die.
That’s not theory—that’s what the data say.
Keep Medicaid expansion. It saves lives.
Drop the work requirements.
They don’t help folks work—they just cut folks off.
Focus on health, not politics.
Healing ain’t a partisan game.
Healing is sacred.
You don’t gatekeep the herbs.
You don’t ration the root.
You don’t bind the body with red tape.
You open the road, you clear the path, you let the people breathe.
That’s what the ancestors taught me.
That these policies ain’t neutral.
They are rooted in control, in scarcity, in the same old plantation logic—prove your worth, or go without.
But we know better.
We’ve been knowin’.
And we gon’ keep speakin’ it plain.
© 2025 Kourtney Nicole Writes™. All rights reserved.