KQED's Forum Forum from the Archives: As Medicaid Cuts Loom, California Health Clinics Face Uncertain Future
Sep 3, 2025
David Quackenbush, Jo Campbell, Mitesh Popat, and Miranda Dietz discuss the looming cuts to Medicaid funding in California that could leave millions without coverage. They highlight the challenges faced by community health clinics, especially in underserved areas like Shasta County, where health disparities are acute. The conversation touches on the critical role of these clinics in providing care, the potential rise in uninsured individuals, and the broader implications of policy changes for vulnerable populations, such as pregnant patients and undocumented immigrants.
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Medi-Cal Cuts Will Shock The Safety Net
- Nearly 40% of Californians rely on Medi-Cal, making cuts a statewide shock to safety-net providers.
- Clinics expect millions to lose coverage and face severe revenue and care access impacts.
Rural Shasta County Faces High Risk
- Joe Campbell describes Shasta County as poorer and sicker with 80% of patients on Medi-Cal.
- She expects about 30% of her patients could lose coverage under new rules.
Central Valley Clinics Rely Heavily On Medi‑Cal
- David Quackenbush says Golden Valley serves 175,000 lives with about 165,000 on Medi-Cal and 80% of revenue from Medi-Cal.
- He warns patients will keep coming even if uninsured, straining clinic finances.
