
Dear America
Accessibility: Listen to this post
Dear America,
My name is Whitney Dafoe. I have a chronic illness and depend on Medicaid to stay alive. The "Big Beautiful Bill" that Trump signed into law on the 4th of July will take away insurance from an estimated 17 million people (1), mostly from people on Medicaid. I want to tell you how losing Medicaid would impact me directly.
I am bedbound and living with my parents at age 42 because I am too sick to take care of myself. My parents have enough money saved to pay for out of pocket costs for necessary care for about 2 more years and then we hit a financial cliff. Because Medicaid as it is doesn’t cover all of my necessary medical expenses. But my government just voted to cut coverage even further and remove it entirely for 17 million Americans (1).
Will I lose Medicaid? I don’t know, the bill is intentionally convoluted to hide its real impact. I know that the bill claims to only "eliminate fraud and abuse" (painting images of 30 year olds surviving on Medicaid in their mother’s basements) by implementing work requirements and other hurdles that individuals have to go through to get covered by Medicaid, but study after study has found that while there is fraud and abuse -5-10% lost- it is almost all from institutions implementing elaborate fraud schemes, not individuals (2). Arkansas implemented similar work requirements to the "Big Beautiful Bill" to combat nearly non-existent fraud from individuals and it led to 18,000 people losing insurance, and no increase in people going back to work (3). Since the source of fraud is not coming from individuals, adding red tape just makes it more difficult for the weakest among us to get care, while fraud schemes set up by institutions can easily work around the requirements. The failure of the laws in Arkansas should be a warning sign for what the "Big Beautiful" Bill" will do to our entire country.
If I lost Medicaid, my parents would have to sell our house to pay for medical expenses that keep me alive. We have lived in this house since I was 1 year old. This house was built in 1891 and my parents bought it run down and have spent a lifetime fixing it up.
I grew up healthy, played sports, did well in school, had many interests and passions, and lived on my own after college until I was 27, when I had to quit what would have been a very successful wedding photography business because I became too sick to be that physically active. I would likely have made 6 figures that year. But I was forced to stop working and move in with my parents at age 27 to stay alive.
I have spent the last 10 years making the room I live in suit my medical needs and support being healthier. Moving is not physically possible for me. My health would never recover from the physical toll of trying to organize all of my necessities and belongings and move them to another house. In fact, I am so sick that the move alone might kill me. And even if I managed to somehow move, I would wind up permanently sicker, likely unable to even move in bed without help (I have been that sick before). This video shows what it takes for me to just get from my bed to the hospital for necessary care: https://youtu.be/OZbBSvde2ZQ
I have been unable to speak, unable to drink water or eat food due to a paralyzed stomach, dependent on tube feeding and IV fluids since 2013. And I JUST had some miraculous breakthroughs with my health and am eating real food again and I am off the feeding tubes. If I had to move, I would not only lose these gains, but go back to a living hell of deathly sickness.
America is one of the richest countries in the world. America can afford to take care of the weakest among us like me. But the "Big Beautiful Bill" does not even save America money. It is estimated to add $3 trillion to the national debt over the next decade (4). Which will incur $600-$700 billion in added interest payments to our national debt (4). This deals a death blow to our children who will have to pay it all back.
So what is this bill actually doing?
It is taking healthcare away from people like me who need support to stay alive, and giving that money directly to the richest people and companies in the country who don’t even need it.
What’s more, the impact of taking away this healthcare will be devastating for those in need, making millions of people’s quality of life dramatically worse and killing thousands or millions of people from lack of needed care (yes, when sick people go without care, many of them die (5). Meanwhile, the money being given to the richest won’t even be noticed because it is insignificant compared to the wealth they already have. When you have billions, millions means nothing. It is like taking 1000 wheelchairs away from disabled people to pay for a new car for someone who already owns 15 cars. It is like throwing a life raft to a rich person drinking champagne on a yacht and ignoring 10,000 poor people struggling to stay afloat swimming in the ocean after a shipwreck. The 16th car will have an insignificant impact on the person who already owns 15 cars and the people on the yacht won’t notice the life raft, but those 1000 disabled people will, without a doubt, notice having no way to get to the kitchen to get food and the people treading water will drown without that life raft.
For those that say "Good thing I’m not disabled," please consider; No matter how well off you are right now, you are one accident or illness away from becoming temporarily or permanently disabled. I was. Disability is the only minority group you can join at a moment’s notice with no warning or predisposition.
What are we doing America?
I don’t care what party you are a member of, whether you are conservative or progressive. Whether you support Trump or not. When has taking from the poor and giving to the rich been something anyone ever actually champions? How is this ok? How can we do this as a country?.
The only people this bill actually helps are the politicians serving the billionaires who bought them. But at what cost? At what point do we say enough is enough and demand that our country serve all Americans and not just the lucky few who have profited from America’s wealth the most?
Warm Regards,
Whitney Dafoe
https://www.whitneydafoe.com
—--
Sources
https://www.cbpp.org/research/health/by-the-numbers-senate-republican-reconciliation-bill-takes-health-coverage-away
https://www.washingtonpost.com/politics/2025/07/01/least-17-million-americans-would-lose-insurance-under-trump-plan
https://oig.hhs.gov/documents/hcfac/10087/HHS%20OIG%20FY%202023%20HCFAC.pdf
https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/
https://www.urban.org/urban-wire/new-evidence-confirms-arkansas-medicaid-work-requirement-did-not-boost-employment
https://www.cbpp.org/research/health/pain-but-no-gain-arkansas-failed-medicaid-work-reporting-requirements-should-not-be
https://www.americanactionforum.org/insight/cbos-score-of-the-house-passed-one-big-beautiful-bill-act-a-closer-look
https://www.crfb.org/blogs/senate-obbba-charts (this estimate is $4-$5 trillion)
https://www.aljazeera.com/news/2025/7/4/when-will-trumps-big-beautiful-bill-take-effect-heres-what-comes-next
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2825%2900761-5/fulltext
https://programbusiness.com/news/new-study-finds-medicaid-expansion-associated-with-lower-mortality-rates
———————————————
Dear America,
My name is Whitney Dafoe. I have a chronic illness and depend on Medicaid to stay alive. The "Big Beautiful Bill" that Trump signed into law on the 4th of July will take away insurance from an estimated 17 million people (1), mostly from people on Medicaid. I want to tell you how losing Medicaid would impact me directly.
I am bedbound and living with my parents at age 42 because I am too sick to take care of myself. My parents have enough money saved to pay for out of pocket costs for necessary care for about 2 more years and then we hit a financial cliff. Because Medicaid as it is doesn’t cover all of my necessary medical expenses. But my government just voted to cut coverage even further and remove it entirely for 17 million Americans (1).
Will I lose Medicaid? I don’t know, the bill is intentionally convoluted to hide its real impact. I know that the bill claims to only "eliminate fraud and abuse" (painting images of 30 year olds surviving on Medicaid in their mother’s basements) by implementing work requirements and other hurdles that individuals have to go through to get covered by Medicaid, but study after study has found that while there is fraud and abuse -5-10% lost- it is almost all from institutions implementing elaborate fraud schemes, not individuals (2). Arkansas implemented similar work requirements to the "Big Beautiful Bill" to combat nearly non-existent fraud from individuals and it led to 18,000 people losing insurance, and no increase in people going back to work (3). Since the source of fraud is not coming from individuals, adding red tape just makes it more difficult for the weakest among us to get care, while fraud schemes set up by institutions can easily work around the requirements. The failure of the laws in Arkansas should be a warning sign for what the "Big Beautiful" Bill" will do to our entire country.
If I lost Medicaid, my parents would have to sell our house to pay for medical expenses that keep me alive. We have lived in this house since I was 1 year old. This house was built in 1891 and my parents bought it run down and have spent a lifetime fixing it up.
I grew up healthy, played sports, did well in school, had many interests and passions, and lived on my own after college until I was 27, when I had to quit what would have been a very successful wedding photography business because I became too sick to be that physically active. I would likely have made 6 figures that year. But I was forced to stop working and move in with my parents at age 27 to stay alive.
I have spent the last 10 years making the room I live in suit my medical needs and support being healthier. Moving is not physically possible for me. My health would never recover from the physical toll of trying to organize all of my necessities and belongings and move them to another house. In fact, I am so sick that the move alone might kill me. And even if I managed to somehow move, I would wind up permanently sicker, likely unable to even move in bed without help (I have been that sick before). This video shows what it takes for me to just get from my bed to the hospital for necessary care: https://youtu.be/OZbBSvde2ZQ
I have been unable to speak, unable to drink water or eat food due to a paralyzed stomach, dependent on tube feeding and IV fluids since 2013. And I JUST had some miraculous breakthroughs with my health and am eating real food again and I am off the feeding tubes. If I had to move, I would not only lose these gains, but go back to a living hell of deathly sickness.
America is one of the richest countries in the world. America can afford to take care of the weakest among us like me. But the "Big Beautiful Bill" does not even save America money. It is estimated to add $3 trillion to the national debt over the next decade (4). Which will incur $600-$700 billion in added interest payments to our national debt (4). This deals a death blow to our children who will have to pay it all back.
So what is this bill actually doing?
It is taking healthcare away from people like me who need support to stay alive, and giving that money directly to the richest people and companies in the country who don’t even need it.
What’s more, the impact of taking away this healthcare will be devastating for those in need, making millions of people’s quality of life dramatically worse and killing thousands or millions of people from lack of needed care (yes, when sick people go without care, many of them die (5). Meanwhile, the money being given to the richest won’t even be noticed because it is insignificant compared to the wealth they already have. When you have billions, millions means nothing. It is like taking 1000 wheelchairs away from disabled people to pay for a new car for someone who already owns 15 cars. It is like throwing a life raft to a rich person drinking champagne on a yacht and ignoring 10,000 poor people struggling to stay afloat swimming in the ocean after a shipwreck. The 16th car will have an insignificant impact on the person who already owns 15 cars and the people on the yacht won’t notice the life raft, but those 1000 disabled people will, without a doubt, notice having no way to get to the kitchen to get food and the people treading water will drown without that life raft.
For those that say "Good thing I’m not disabled," please consider; No matter how well off you are right now, you are one accident or illness away from becoming temporarily or permanently disabled. I was. Disability is the only minority group you can join at a moment’s notice with no warning or predisposition.
What are we doing America?
I don’t care what party you are a member of, whether you are conservative or progressive. Whether you support Trump or not. When has taking from the poor and giving to the rich been something anyone ever actually champions? How is this ok? How can we do this as a country?.
The only people this bill actually helps are the politicians serving the billionaires who bought them. But at what cost? At what point do we say enough is enough and demand that our country serve all Americans and not just the lucky few who have profited from America’s wealth the most?
Warm Regards,
Whitney Dafoe
https://www.whitneydafoe.com
—--
Sources
(1)
https://www.kff.org/quick-take/about-17-million-more-people-could-be-uninsured-due-to-the-big-beautiful-bill-and-other-policy-changeshttps://www.cbpp.org/research/health/by-the-numbers-senate-republican-reconciliation-bill-takes-health-coverage-away
https://www.washingtonpost.com/politics/2025/07/01/least-17-million-americans-would-lose-insurance-under-trump-plan
(2)
https://www.gao.gov/assets/gao-18-598t.pdfhttps://oig.hhs.gov/documents/hcfac/10087/HHS%20OIG%20FY%202023%20HCFAC.pdf
https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/
(3)
https://pubmed.ncbi.nlm.nih.gov/32897784/https://www.urban.org/urban-wire/new-evidence-confirms-arkansas-medicaid-work-requirement-did-not-boost-employment
https://www.cbpp.org/research/health/pain-but-no-gain-arkansas-failed-medicaid-work-reporting-requirements-should-not-be
(4)
https://www.cbo.gov/publication/61486https://www.americanactionforum.org/insight/cbos-score-of-the-house-passed-one-big-beautiful-bill-act-a-closer-look
https://www.crfb.org/blogs/senate-obbba-charts (this estimate is $4-$5 trillion)
https://www.aljazeera.com/news/2025/7/4/when-will-trumps-big-beautiful-bill-take-effect-heres-what-comes-next
(5)
https://keck.usc.edu/news/new-research-analysis-predicts-that-reductions-in-medicaid-access-could-result-in-poorer-health-outcomes-including-increased-deathshttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2825%2900761-5/fulltext
https://programbusiness.com/news/new-study-finds-medicaid-expansion-associated-with-lower-mortality-rates
———————————————
Subscribe
to get my newest blog post sent to your email address. Only blog posts, nothing else. Unsubscribe anytime.
more info
What Is ME/CFS?
My Story
ME/CFS Resources
Useful Documents and Graphics
Donate to ME/CFS research
My Photography Print Store
support my advocacy work by buying one of my fine art prints
My Story
ME/CFS Resources
Useful Documents and Graphics
Donate to ME/CFS research
My Photography Print Store
support my advocacy work by buying one of my fine art prints
















