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NPR News·4 min read·medium

One Big Beautiful Bill cut healthcare funds. Now, Republicans have to sell the costs

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Rahul Mukherjee
One Big Beautiful Bill cut healthcare funds. Now, Republicans have to sell the costs
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Republican candidates are struggling to manage the political fallout from the 'One Big Beautiful Bill Act,' which reduced healthcare funding and insurance access. Recent polling shows low approval for the administration's handling of healthcare costs, complicating their midterm campaign strategies.

Why it matters

Healthcare remains a pivotal issue for voters, and the legislative changes are being used by opponents to challenge Republican incumbents in swing districts.

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Republicans campaigning in swing districts are running ads about healthcare after facing criticism of the cuts in the One Big Beautiful Bill Act. Many of these ads target voters over 35 years old and focus on three topics: Medicaid fraud, rural hospitals and affordability.

An NPR analysis looked at video ads on YouTube that ran this midterm cycle, many of which mirror ads on other digital platforms and on television. The analysis includes advertising for candidates in races that are toss-ups or leaning toward one party or the other, as rated by the Cook Political Report .

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