{"id":26120,"date":"2025-10-06T00:44:06","date_gmt":"2025-10-06T00:44:06","guid":{"rendered":"https:\/\/naijaglobalnews.org\/?p=26120"},"modified":"2025-10-06T00:44:06","modified_gmt":"2025-10-06T00:44:06","slug":"im-fearful-people-will-die-pennsylvania-reckons-with-impact-of-trump-cuts-pennsylvania","status":"publish","type":"post","link":"https:\/\/naijaglobalnews.org\/?p=26120","title":{"rendered":"\u2018I\u2019m fearful people will die\u2019: Pennsylvania reckons with impact of Trump cuts | Pennsylvania"},"content":{"rendered":"<p>\n<\/p>\n<p class=\"dcr-130mj7b\">Ernest Hairston has a plan. He\u2019s going to buy a car and find a job, then he\u2019ll be able to start saving for a down payment on a house.<\/p>\n<p class=\"dcr-130mj7b\">A car this year, house next. That\u2019s his plan. But first, he has to fix his health.<\/p>\n<p class=\"dcr-130mj7b\">The downtown Rite Aid where he used to get his diabetes meds closed, and the new pharmacy is out of supplies. He\u2019s gone without medicines now for seven weeks, and it\u2019s making him sick.<\/p>\n<p class=\"dcr-130mj7b\">When the Guardian arrived at his rental apartment in Johnstown, western Pennsylvania, it took him several minutes to struggle out of bed and to the door.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThe drugs are all out my system now, so I\u2019m shaky,\u201d he said, looking pale as we sat talking in his spartan kitchen. \u201cOnce I get them, it\u2019ll take three weeks to get back regulated, then everything will be fine.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Until then, Hairston is living on borrowed time. He has a couple of dollars in the bank, and is drawing down his last paycheck: $227 that he cashed a week ago.<\/p>\n<p class=\"dcr-130mj7b\">Until he found a place to live last year, he was homeless for more than a decade. He slept in his Sonata and on friends\u2019 couches. Having a home has helped him stabilise, but the community group that subsidises his $800 a month rent just lost its government grant and won\u2019t be able to do so past September.<\/p>\n<p class=\"dcr-130mj7b\">That leaves him with Snap, the federal government program that pays him $6 a day for food.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Ernest Hairston outside his apartment.<\/span><\/p>\n<p class=\"dcr-130mj7b\">For a Black man in largely white Johnstown who has no money, no car, no job, no drugs for his chronic health condition, and a rental apartment that he soon won\u2019t be able to afford, Hairston, 61, is remarkably cheerful. He has confidence in himself: \u201cEven though I\u2019ve hit a speed bump, I won\u2019t let it stop me. It\u2019s my value system, I have to work.\u201d<\/p>\n<p class=\"dcr-130mj7b\">And he has confidence in Donald Trump. A lifelong Democrat, Hairston switched allegiance to the Republicans last year and would have cast a ballot for Trump in November had his voter registration been in order.<\/p>\n<p class=\"dcr-130mj7b\">Hairston has liked Trump since the 1980s when he read The Art of the Deal. \u201cThat was a very motivational book. How you don\u2019t ever give up. You just keep going.\u201d<\/p>\n<p class=\"dcr-130mj7b\">He has some qualms about what Trump is doing now, cutting so many federal programs indiscriminately, including Medicaid, the government health insurance scheme for low-income people that he receives, and the Snap food assistance that is his final resort. But Hairston agrees with the president that welfare \u2013 the welfare on which he, too, depends \u2013 needs a radical overhaul.<\/p>\n<p class=\"dcr-130mj7b\">\u201cToo many people are on it who don\u2019t need it. Y\u2019all just riding the system for no reason. Y\u2019all are healthy, you\u2019re smart, go out and get a job. If you don\u2019t, Trump needs to cut you off.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Hairston\u2019s best friend is Will Dill. They hang out together in a downtown drop-in center where Dill helps to run the Dungeons and Dragons club.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Hairston holds a day\u2019s worth of his medications.<\/span><\/p>\n<p class=\"dcr-130mj7b\">The center\u2019s mission is to maintain the mental health and sobriety of its members. There\u2019s a memorial board in the hallway festooned with photos of friends they\u2019ve lost, some to opioid addiction, some to ill-health or other afflictions of the poor.<\/p>\n<p class=\"dcr-130mj7b\">Dill, 27, regards Hairston and his peers at the drop-in center as family. Over the years, he\u2019s wrestled with severe anxiety and agoraphobia, and has been diagnosed with PTSD and autism \u2013 a cocktail that in the past has kept him locked up indoors for months on end, too scared to leave the house and racked by suicidal thoughts.<\/p>\n<p class=\"dcr-130mj7b\">Like Hairston, Dill counts on his $6-a-day Snap food allowance, as well as support programs that he can access through Medicaid. Unlike Hairston, he opposes Trump\u2019s cuts to federal programs, and has a startling explanation why.<\/p>\n<p class=\"dcr-130mj7b\">\u201cWithout federal government help, I would definitely be dead,\u201d he said.<\/p>\n<p class=\"dcr-130mj7b\">Throughout his teenage years, he reckons he made on average two serious suicide attempts each year. Since then he has made great progress \u2013 his last suicidal episode was eight years ago \u2013 but those dark days are preying on his mind.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI\u2019ve come very close over the years. If it wasn\u2019t for the very talented and compassionate therapist I have seen through Medicaid, I wouldn\u2019t be here.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Now Dill fears for himself, and for the many friends who stand to lose Medicaid and other forms of federal assistance. Trump\u2019s recent mega-bill requires \u201cable-bodied\u201d adults to prove they are working at least 80 hours a month to keep their health insurance.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Will Dill, 27, poses for a portrait in Johnstown.<\/span><\/p>\n<p class=\"dcr-130mj7b\">That will be tough for Dill. He finds job interviews so anxiety-inducing they can bring on panic attacks, and although the new restriction won\u2019t start until January 2027 \u2013 strategically timed by the Republicans to fall after next year\u2019s midterm elections \u2013 he is already terrified.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI\u2019m very afraid that a lot of people are going to be hurt,\u201d Dill said. \u201cIf we lose Medicaid it will be a vicious cycle of just down, down, down. I\u2019m fearful people will die.\u201d<\/p>\n<p class=\"dcr-130mj7b\"><span style=\"color:var(--drop-cap);font-weight:500\" class=\"dcr-15rw6c2\">T<\/span>he scars of Johnstown\u2019s industrial decline are exposed for all to see. Almost half of the city\u2019s downtown is occupied by the hulking mass of the Bethlehem Steel plant, its giant sheds distressed and largely disused.<\/p>\n<p class=\"dcr-130mj7b\">The plant stands as a monument to America\u2019s former industrial might. In the late 19th- and much of the 20th century it was at the epicenter of world manufacturing, employing in 1970 almost 12,000 well-paid members of the United Steelworkers union and supporting a host of local coal mines that fed its furnaces.<\/p>\n<p class=\"dcr-130mj7b\">After the second world war, cheaper steel from overseas began to eat into the good times. Major cuts to the workforce started in 1973, and Bethlehem Steel was shuttered in 1992.<\/p>\n<p class=\"dcr-130mj7b\">There\u2019s nothing like kicking a horse when it\u2019s down. Johnstown\u2019s topography in the Conemaugh River Valley makes it vulnerable to flooding, and it has suffered three floods of biblical scale, most recently in 1977.<\/p>\n<p class=\"dcr-130mj7b\">Which leaves Johnstown, and the surrounding rural areas that complete Cambria county in which the city sits, depleted. The area looks magnificent, wrapped in the emerald green of the Appalachian hills.<\/p>\n<p class=\"dcr-130mj7b\">But beneath the gem-like surface, life is tough. More than 13% of the county\u2019s 131,000 residents, including more than one in five children, live under the official poverty line, according to the US census.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">A view of Johnstown.<\/span><\/p>\n<p class=\"dcr-130mj7b\">That in itself is a gross underestimate of local need, says the anti-poverty community network United Way, which has developed its own measure known as Alice: asset-limited, income-constrained, employed. By this calculation, some 44% of households in Cambria county are surviving on less than the basic cost of living, rising to an astonishing 70% in Johnstown itself.<\/p>\n<p class=\"dcr-130mj7b\">That\u2019s more than two-thirds of the city\u2019s residents who can\u2019t afford necessities such as rent, child care, medical treatment, food. United Way of the Southern Alleghenies, the branch covering Johnstown, estimates that one in five children in the county experience hunger.<\/p>\n<p class=\"dcr-130mj7b\">It\u2019s an indication of Johnstown\u2019s challenges that it even markets itself by its disasters. If you want a cup of coffee in downtown, go to Flood City Cafe; for home decorating, try Flood City Painting Company.<\/p>\n<p class=\"dcr-130mj7b\">Now Cambria county has a new self-identification: Trump county.<\/p>\n<p class=\"dcr-130mj7b\">Trump owes a huge debt to Cambria county and places like it across the US. Struggling post-industrial towns and their rural hinterlands in no small part put him in the White House, handing him Pennsylvania\u2019s critical electoral college votes as well as a majority of the ballots of low-income Americans nationwide, according to exit polls.<\/p>\n<p class=\"dcr-130mj7b\">Despite Johnstown\u2019s proud Democratic and labour union history, Trump won Cambria county in each of his three presidential races, his margin rising each time. Last November he took 69%, to Kamala Harris\u2019s 30%.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">St Vincent de Paul\u2019s Johnstown Family Kitchen.<\/span><\/p>\n<p class=\"dcr-130mj7b\">With such a large proportion of the population being financially hard-up, the county\u2019s sharp turn to Trump raises the question that has troubled analysts since he burst onto the national political stage a decade ago. How did a billionaire businessman living a gilded life in a mock Louis XIV Fifth Avenue penthouse, whose politics are relentlessly pro-wealth, anti-union, and hostile to government assistance, appeal so potently to people like Hairston who has literally two dollars in the bank?<\/p>\n<p class=\"dcr-130mj7b\">And how is Trump faring today with those low-income voters, now that he has been back in power for nine months, his global tariffs are taking effect, and most pertinently, his devastating cuts to federal programs on which so many poor Americans rely are starting to bite?<\/p>\n<p class=\"dcr-130mj7b\">\u201cMy friends say to me, \u2018You voted for Donald Trump\u2019, and I say to them: \u2018So did you!,\u2019\u201d said Brenda Ickes, 64, a retired nurse taking a stroll in the main square in downtown Johnstown, known as Central Park.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThey say, \u2018He said he would make things better, and nothing\u2019s better.\u2019 I say, \u2018He\u2019s a politician, he\u2019s going to need time to make things better.\u2019\u201d<\/p>\n<p>Locator map of Johnstown, Pennsylvania<\/p>\n<p class=\"dcr-130mj7b\">Trump has bombarded Johnstown with promises over the past 10 years, piling the pledges up high like so many heaps of coal slag.<\/p>\n<p class=\"dcr-130mj7b\">In his first election campaign he promised that \u201csteel will come back\u201d and \u201cminers will be put back to work\u201d. In 2020, he returned to Johnstown and promised voters they would have \u201csafe communities, great jobs, and a limitless future for all Americans\u201d. And last year, he came to the city once again and promised he would \u201ccut your energy bills in half\u201d and \u201cdefeat inflation\u201d.<\/p>\n<p class=\"dcr-130mj7b\">So many promises, not so much to show for it. Steel and coal have not returned, energy bills are rising, and inflation is ticking up again as the tariffs filter through to prices.<\/p>\n<p class=\"dcr-130mj7b\">Official government labour statistics are so out of line with Trump\u2019s promise to create good new jobs that the president felt driven to fire the official in charge of collating them.<\/p>\n<p class=\"dcr-130mj7b\">If Trump\u2019s new golden era of revived American middle-class greatness has yet to reach Johnstown, then what is starting to be felt locally are the federal cuts. They include:<\/p>\n<ul class=\"dcr-130mj7b\">\n<li class=\"dcr-130mj7b\">\n<p class=\"dcr-130mj7b\">Cuts to Snap food assistance. Trump\u2019s mega-bill slashed almost $200bn from Snap funding over a decade. One in five people in Cambria county, some 26,000, receive the benefit. About 2,000 are likely to be thrown off, leaving them to fend for themselves.<\/p>\n<\/li>\n<li class=\"dcr-130mj7b\">\n<p class=\"dcr-130mj7b\">Food banks, the last resort for hungry people, are also being hammered. Trump\u2019s US Department of Agriculture (USDA) has eliminated two critical programs that supplied food banks with produce from farmers. The Greater Pittsburgh Community Food Bank, which serves Cambria county, estimates that this year alone it will lose more than 6m pounds of food that would have gone to hungry families.<\/p>\n<\/li>\n<li class=\"dcr-130mj7b\">\n<p class=\"dcr-130mj7b\">Johnstown\u2019s emergency shelters for homeless people are reporting that Fema, the federal emergency management agency, has not released the money they had been expecting. There are similar worries about $3.6bn in federal grants from the Department of Housing and Urban Development, HUD.<\/p>\n<\/li>\n<li class=\"dcr-130mj7b\">\n<p class=\"dcr-130mj7b\">The federal program that provided low-income families with winter fuel to heat their homes has been slashed under cuts to the US Department of Health and Human Services. More than 10,000 cash grants of up to $1,000 were made last year to the poorest in Cambria county, aid that is now in jeopardy.<\/p>\n<\/li>\n<\/ul>\n<p class=\"dcr-130mj7b\">\u201cTrump is breaking the backs of poor people,\u201d said Rosalie Danchanko. For the past 13 years she has run the Highlands Health medical center that treats low-income people in Johnstown who lack adequate health insurance.<\/p>\n<p class=\"dcr-130mj7b\">Now she sees cuts to Medicaid and other federal programs descending, and she is scared. \u201cI think Trump\u2019s plan is to make those with wealth become wealthier on the backs of poor people. Unfortunately my patients don\u2019t get it, they just don\u2019t see it coming.\u201d<\/p>\n<p class=\"dcr-130mj7b\"><span style=\"color:var(--drop-cap);font-weight:500\" class=\"dcr-15rw6c2\">S<\/span>ome of the disconnect between Trump\u2019s pledges and the harsh reality unfolding in Johnstown is starting to be seen. Charles Kelley, 45, a former welder now on disability after his ankle was crushed in a factory accident, said Trump \u201cmade us promises, and I ain\u2019t seeing nothing yet\u201d.<\/p>\n<p class=\"dcr-130mj7b\">Food and other essentials are getting more expensive again, he said. Every other day he skips a meal himself, so that his four kids can eat.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThe way things are going, Trump\u2019s got families being torn apart with these tariffs. Food\u2019s rising, and he\u2019s saying it\u2019s getting better. Nothing\u2019s getting better.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Kelley didn\u2019t vote last November. But even some Trump voters are starting to grumble, just a little.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">A farmers\u2019 market in Johnstown.<\/span><\/p>\n<p class=\"dcr-130mj7b\">\u201cDisappointed? Sure I\u2019m disappointed,\u201d said Bill Thompson, 72, heading to the weekly shop at Walmart. \u201cIf Trump brought down prices, then tell me where to shop, \u2018cos I haven\u2019t seen them.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Thompson worked down the coal mines for 18 years, living through the boom and bust. At the best of times, he was getting $27 an hour, a rate that later plummeted to $10.<\/p>\n<p class=\"dcr-130mj7b\">Thompson doesn\u2019t like any politician much, no matter what party. \u201cNone of them ever done nothing for me. They should all of them be thrown out.\u201d<\/p>\n<p class=\"dcr-130mj7b\">But the disgruntlement only goes so far when it comes to Trump. If the president were to be allowed to run for an unconstitutional third term in 2028, he\u2019d be right back voting for him.<\/p>\n<p class=\"dcr-130mj7b\">\u201cHe\u2019s a liar like all of them,\u201d was how Thompson articulated it. \u201cBut at least he\u2019s got balls.\u201d<\/p>\n<p class=\"dcr-130mj7b\">For all the talk of disappointment, most Trump voters in Cambria county appear happy to give the president more time to deliver on those piles of promises. John DeBartola, 48, the Maga Republican nominee for mayor of Johnstown, says that when he\u2019s out canvassing, he never hears complaints on the doorstep about prices or federal cuts.<\/p>\n<p class=\"dcr-130mj7b\">What he hears, he says, is a desire for change. \u201cTrump is the change candidate. Love him or hate him, he\u2019s a change-maker. People want that.\u201d<\/p>\n<p class=\"dcr-130mj7b\">DeBartola, by his own admission, is \u201cnot the typical Trump supporter\u201d. He is the openly gay organiser of Johnstown\u2019s Gay Pride festival, the main draw of which this year was the lesbian folk-rock duo the Indigo Girls.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThere\u2019s a lot more people like me in the Maga movement than people want to admit,\u201d he said.<\/p>\n<p class=\"dcr-130mj7b\">The Republican, who until Trump\u2019s first run in 2016 was a committed Democrat, is running for mayor under a mantra of \u201cMake Johnstown Great Again\u201d. If that sounds derivative, that\u2019s because DeBartola wants to do to Johnstown what Trump is doing to America.<\/p>\n<p class=\"dcr-130mj7b\">He aspires to create the city\u2019s very own Doge, the government-destroying bulldozer pioneered by Elon Musk. He sees that as a first step to eradicating the dependency culture that in his view attracts poor people to Johnstown, making the city\u2019s population disproportionately reliant on government handouts such as section 8 federal housing subsidies.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">An American flag and signage.<\/span><\/p>\n<p class=\"dcr-130mj7b\">There\u2019s another reason DeBartola is not typical. For seven years as a teenager he was mute \u2013 unable to speak as a result of cancer of his vocal cords.<\/p>\n<p class=\"dcr-130mj7b\">The \u201chorrible ordeal\u201d, as he describes it, meant he was himself dependent on government assistance for years. \u201cOh, yeah, I was,\u201d he said. \u201cAnd I support the programs, because there\u2019s a need for it. This population could absolutely not survive without safety nets.\u201d<\/p>\n<p class=\"dcr-130mj7b\">DeBartola sees no contradiction between his support for safety nets and his equally firm approval of Trump\u2019s welfare cuts. \u201cThere\u2019s too much of a concentration of poverty here,\u201d he said. \u201cIt becomes a way of life, and it sets people up for failure. When I was sick, I was on assistance, but when I got better I got off the programs. We have to get people back to work.\u201d<\/p>\n<p class=\"dcr-130mj7b\">You hear that argument \u2013 that people should stand on their own two feet \u2013 a lot from Trump voters in Johnstown. It\u2019s an idea that is imbued with the age-old distinction between deserving and undeserving poor that Charles Dickens so searingly depicted in Victorian England.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Johnstown Family Kitchen opens for free meals.<\/span><\/p>\n<p class=\"dcr-130mj7b\">The concept is thriving in today\u2019s Johnstown. It has been enthusiastically embraced by large swathes of a vulnerable community that is turning in on itself.<\/p>\n<p class=\"dcr-130mj7b\">\u201cWhat happens in this town is that people look for something to blame, rather than questioning our own contributions to the problem and how we can lend a hand,\u201d said Karen Struble Myers, president of United Way of the Southern Alleghenies. \u201cThere\u2019s this notion that you can pull yourself up by your bootstraps, but the fact is, we need other people, we need community.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Trump has monetised that blame game, using it to justify almost $1tn federal cuts to Medicaid that he needed to fund tax breaks for the rich. His imposition of work requirements on Medicaid recipients \u2013 the first such restrictions in the scheme\u2019s 60-year history \u2013 plays to the stigmatization of poor people as work-shy, even though almost six in 10 working-age adults on Medicaid are employed.<\/p>\n<p class=\"dcr-130mj7b\">I find Dave, 73, enjoying the sun in Central Park. Having worked for years in a foundry and lumber yard, he is now living on social security.<\/p>\n<p class=\"dcr-130mj7b\">He described to me his childhood outside Johnstown. His father, a welder with Bethlehem Steel, instilled in him from the age of 14 that he should \u201cget your butt out of bed and go get a job\u201d.<\/p>\n<p class=\"dcr-130mj7b\">If he resisted, \u201cwe got our ass beat.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Dave recalls his dad beating him with whatever lay at hand at least a couple of times a week. When he was caught smoking, his father cut the cigarette in half and made him eat it. When found drunk, he was made to finish the whole bottle until he vomited.<\/p>\n<p class=\"dcr-130mj7b\">Did it change his worldview?<\/p>\n<p class=\"dcr-130mj7b\">\u201cOh year, real quick. My dad didn\u2019t mess around. He was old, old-fashioned.\u201d<\/p>\n<p class=\"dcr-130mj7b\">The only thing that Dave, who didn\u2019t want to share his last name, doesn\u2019t like about Trump is that he\u2019s not acting fast enough. \u201cI want to see him move quicker. Quicker. Open up the coal, get all these bums to work.\u201d<\/p>\n<p class=\"dcr-130mj7b\">He pointed to the street that runs around the park. \u201cTrump should look at the people on disability, welfare, food stamps, medical cards, and tell them: \u2018Tomorrow morning there\u2019ll be a bus that\u2019ll pull in here. Make sure you\u2019re on it, and go to work. If you don\u2019t, if you sit in your lazy chair, I\u2019ll shut you off for everything.\u2019\u201d<\/p>\n<p class=\"dcr-130mj7b\">Trump\u2019s assault on the poor stands out from previous presidents of both main parties because of the depth and breadth of his federal cuts. Medicaid being exhibit No 1.<\/p>\n<p class=\"dcr-130mj7b\">Almost a third of Cambria county residents rely on Medicaid as their primary healthcare insurance. An analysis by Pennsylvania Health Access Network, Phan, estimates that 34,000 people in the state\u2019s 13th congressional district, which covers Cambria county, are at risk of being kicked off the program as a result of Trump\u2019s mega-bill.<\/p>\n<p class=\"dcr-130mj7b\">Cain Varmecky knows what losing Medicaid means. A year ago, when she turned 26, she was taken off her parents\u2019 health insurance in Johnstown and was too cash-strapped to replace it herself.<\/p>\n<p class=\"dcr-130mj7b\">As an uninsured person, she had to come off her medication for severe epilepsy, which until that point had been under control. Within weeks her condition deteriorated, and she suffered grand mal seizures of increasing frequency and intensity.<\/p>\n<p class=\"dcr-130mj7b\">She remembers the day when she had to decide between saving her own life and going into medical debt.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Cain Varmecky poses for a portrait.<\/span><\/p>\n<p class=\"dcr-130mj7b\">She had what she describes as a \u201cpremonition\u201d that something bad was about to happen, so she lay on the floor to protect herself. As she went into the seizure she checked the clock on the wall, and that way knows that it lasted six minutes.<\/p>\n<p class=\"dcr-130mj7b\">An episode that long can kill. It can lead to permanent brain damage, physical injury, and cardiac arrest. Patients are advised immediately to call 911.<\/p>\n<p class=\"dcr-130mj7b\">Varmecky did not make the call.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI made the executive choice not to call. I would be thousands, maybe tens of thousands, in debt.\u201d<\/p>\n<p class=\"dcr-130mj7b\">She spent the next several days in a daze, unable to speak, falling over, barely functioning. She knew that if she went into another seizure, it would be her last.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI made a choice to bargain with my life.\u201d<\/p>\n<p class=\"dcr-130mj7b\">The bargain paid off. In February, Varmecky finally got accepted onto Medicaid. Her epilepsy is back under control.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI\u2019m healthy again, not living in constant fear.\u201d<\/p>\n<p class=\"dcr-130mj7b\">Recently, though, doubts have started to creep back. \u201cWhat if, in six months, I\u2019m knocked off my Medicaid? What\u2019s going to happen then?\u201d<\/p>\n<p class=\"dcr-130mj7b\">These are not idle questions. A study by the University of Pennsylvania and Yale looked at the impact of Trump\u2019s Medicaid cuts and estimated that under them more than 50,000 low-income and vulnerable people across the US would die each year from preventable causes.<\/p>\n<p class=\"dcr-130mj7b\">Phan applied those calculations to Pennsylvania\u2019s 13th district and concluded that 150 people in the region around Johnstown would die each year needlessly. \u201cThis is a matter of life and death for thousands of people who now face real-life consequences from the largest healthcare cut in American history,\u201d said Phan\u2019s policy director Patrick Keenan.<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Robbin Ford on her back patio.<\/span><\/p>\n<p class=\"dcr-130mj7b\">Robbin Ford, 58, is already facing such consequences. She is one of the uninsured patients treated at the Highlands Health clinic, having just been taken off Medicaid. She has been told she is \u201cout of compliance\u201d and must reapply for coverage, a prospect that fills her with dread.<\/p>\n<p class=\"dcr-130mj7b\">Last week she had cardiac surgery for an irregular heartbeat.<\/p>\n<p class=\"dcr-130mj7b\">Her husband, Francis, recently lost his job with a company importing electrical products from China. When the first round of Trump\u2019s tariffs beckoned, management laid off seven workers from a workforce of 100 \u2013 he was one of them.<\/p>\n<p class=\"dcr-130mj7b\">With income running low, the couple are faced with hard choices. \u201cDo we pay the electric this month, or do we eat?\u201d<\/p>\n<p class=\"dcr-130mj7b\">When all else is lost, they go to the food bank. Ford tries not to think of using this resource as demeaning, but she still finds it difficult.<\/p>\n<p class=\"dcr-130mj7b\">\u201cIt\u2019s hard to go to a food bank, when we used to be the ones who donated to the food bank.\u201d<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Robbin Ford with family.<\/span><\/p>\n<p class=\"dcr-130mj7b\">She feels a wave of disapproval building towards her locally. She hears the mantra from Trump officials on TV telling her she should be looking for work.<\/p>\n<p class=\"dcr-130mj7b\">But she is looking for work! She must have filled out 200 job applications in the last six months. Only a handful replied, most of them scammers.<\/p>\n<p class=\"dcr-130mj7b\">\u201cIt makes me feel that in Trump\u2019s eyes I\u2019m not worthy of government handouts. I thank God that the president and his officials have everything they need. If they ever lost that, maybe they might understand.\u201d<\/p>\n<p><span class=\"dcr-1inf02i\"><\/span><span class=\"dcr-1qvd3m6\">Hairston in his apartment.<\/span><\/p>\n<p class=\"dcr-130mj7b\">Nijmie Dzurinko, co-founder of the grassroots healthcare campaign Put People First PA which is active in Cambria county, sees the current moment through the long lens of post-war American history. Viewed this way, both main parties, Republicans and Democrats alike, have presided over the region\u2019s demise.<\/p>\n<p class=\"dcr-130mj7b\">She points out that under Joe Biden\u2019s presidency, Medicaid protections that had been in place during the pandemic were withdrawn, stripping 633,000 Pennsylvanians of their health insurance. Look further back, and Bill Clinton was the first to inject work requirements and time limits into welfare benefits, in his pointedly named 1996 legislation, the Personal Responsibility and Work Opportunity Reconciliation Act.<\/p>\n<p class=\"dcr-130mj7b\">Clinton\u2019s move was \u201cpart of the false narrative of the American dream, that if you work hard, you advance\u201d, Dzurinko said. \u201cIt\u2019s one of America\u2019s mental fortresses, these deeply ingrained ideas in US culture: that poverty is the fault of the people in poverty themselves.\u201d<\/p>\n<p class=\"dcr-130mj7b\">A look through this longer lens helps explain the widespread skepticism among low-income people in Johnstown towards those in power \u2013 whatever the political party. Other than when Trump is on the ballot (81% voted in November\u2019s presidential election), turnout in Johnstown is witheringly low. Just 22% of registered voters participated in the recent mayoral primary elections.<\/p>\n<p class=\"dcr-130mj7b\">Ernest Hairston is a case in point. During the prolonged period ending last year in which he lived unhoused, there was a Democrat in the White House for eight of the 11 years.<\/p>\n<p class=\"dcr-130mj7b\">Hairston doesn\u2019t hold presidents personally responsible for his plight. But, in a way, that\u2019s the issue \u2013 he\u2019s come to expect so little from any incumbent of the Oval Office.<\/p>\n<p class=\"dcr-130mj7b\">\u201cRemember, it\u2019s all a magic show,\u201d he said. \u201cWhenever there\u2019s a new president they say, \u2018Look at my hand here! Watch it slide there! Listen to my promises!\u2019 Then boom, it\u2019s all gone!\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ernest Hairston has a plan. He\u2019s going to buy a car and find a job, then he\u2019ll be able to start saving for a down payment on a house. A car this year, house next. That\u2019s his plan. But first, he has to fix his health. The downtown Rite Aid where he used to get<\/p>\n","protected":false},"author":1,"featured_media":26121,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[562,7142,15709,265,4205,364,13113,81],"class_list":{"0":"post-26120","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-business","8":"tag-cuts","9":"tag-die","10":"tag-fearful","11":"tag-impact","12":"tag-pennsylvania","13":"tag-people","14":"tag-reckons","15":"tag-trump"},"_links":{"self":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/posts\/26120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26120"}],"version-history":[{"count":0,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/posts\/26120\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/media\/26121"}],"wp:attachment":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}