Instead of focusing on improving health care delivery in rural America, House Republicans passed a bill that will only make it harder to access affordable, quality health services in rural communities across the country. Here’s a list of ten ways that TrumpCare will have a damaging impact on rural America.

Government funding runs out on April 28th. Without an agreement to fund the government by then, the federal government will shut down, disrupting economic growth, increasing uncertainty for businesses and people who rely on public services or are awaiting a tax refund, and potentially triggering job losses across the economy–just as the nation experienced during the October 2013 shutdown.

Medicaid provides an essential lifeline to around 70 million Americans who would otherwise be unable to afford health care and plays an essential role in containing overall costs in America’s health system.[i] The Republican plan would gut $370 billion from the Medicaid program over 10 years, putting mothers, children, and the elderly at risk of being kicked to the curb and throwing state government budgets out of balance.