About 150 physicians at two Allina Health hospitals walked out this week after three years of bargaining over sick days, pay and a role in patient care.
The federal reconciliation law also narrows Medicare and marketplace coverage, and a separate immigration rule is pushing US citizen children off Medicaid alongside their noncitizen family members.
Rural hospitals keep losing the fight over leaner Medicaid budgets, and a separate analysis finds reaching the nearest labor and delivery unit already takes an hour or more in fourteen states.
The rule change could also block future administrations from ever regulating power plant emissions again, and one Arizona county already failing on air quality could be among the first to feel it.