“There’s a ripple effect that hits the uninsured and newly uninsured and underinsured particularly hard,” says Anthony Wright, executive director of Families USA, a national consumer health advocacy group. “But it ripples through families and communities and the health system we all rely on.”

Some hospitals are already closing. Select Specialty Hospital—Tucson East recently announced its imminent closure, though a spokesperson did not confirm it was because of H.R. 1. Others are already making tough choices about what services to continue. One Las Vegas hospital said in August that because of increased demand for its emergency room services…

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