Republican lawmakers are considering significant cuts to Medicaid, with discussions focusing on slashing up to $880 billion from the program. These proposed changes could jeopardize healthcare coverage for millions of Americans, particularly in states like Virginia and Pennsylvania, where a substantial number of residents rely on Medicaid services. Critics warn that the cuts may lead to devastating effects, including loss of insurance for over 600,000 Virginians and negative impacts on rural hospitals. Economists and healthcare advocates argue that these budget reconciliation efforts threaten the social safety net and disproportionately benefit the wealthiest individuals, all while the GOP aims for broader fiscal savings. As states prepare for potential rollbacks in Medicaid expansion funding, coalitions are forming to resist these efforts, emphasizing the dire need to protect vulnerable populations across the nation.