In rural America, folks already face transportation issues, fewer jobs, limited internet, and clinics that are miles away. Now you add a requirement: log ~80 hours/month + report it + prove it. That’s a huge ask in places where jobs are seasonal, volunteering opportunities few, or internet patchy. If people lose Medicaid coverage because they can’t meet the bureaucratic bar, what happens? ER visits go up, small hospitals suffer, local economies weaken. I’m all for responsibility, but policy has to reflect reality. Otherwise the bill comes due — and it might be our community paying for it. #Medicare #MedicaidMatters