As discussions surrounding the GOP megabill intensify, insurers and state officials are raising alarms about the potential chaos it could unleash on the Affordable Care Act (ACA) and Medicaid. Advocates warn that significant cuts to Medicaid could devastate healthcare for vulnerable populations, particularly in rural communities predominantly supporting GOP policies. The new bill is viewed as an indirect attempt to repeal Obamacare, with implications that could lead to millions losing their health coverage. Additionally, the bill includes proposals that could exacerbate financial burdens on Americans in lower income brackets while adding to the national debt. Stakeholders from various states, including Missouri and Pennsylvania, are voicing concerns about the dire consequences of such cuts, emphasizing that they would particularly affect long-term care services and essential healthcare programs. The upcoming elections are likely to see Medicaid cuts become a flashpoint issue, as advocates rally to protect essential benefits and combat the proposed legislative changes.