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Dear Editor, I read with interest your article “BBRHD continues rural health advancements.” The article gives the false impression that the OBBBA is a net positive for rural healthcare. In an effort to partially offset the loss of revenue to the U.S. Treasury caused by the OBBBA’s enormous tax cut to millionaires and billionaires, the Republican-led Congress, which passed this bill, cut subsidies needed to fund health insurance premiums for low-income Americans under Obamacare and created new barriers for those seeking healthcare funding under Medicaid, resulting in millions of Americans being denied the health care they need. Those impacted include the elderly, disabled, and children.