#HealthcareCosts

A proposed Republican-led budget plan to cut Medicaid—the United States’ largest public health program—could raise costs and reduce access to essential reproductive health services for millions of women. Health advocates warn that low-income women, communities of colour, people with disabilities, and rural residents may lose affordable care, including contraception, prenatal care, and important screenings.

For Thai readers, the U.S. debate serves as a cautionary tale about public healthcare funding. Medicaid currently covers more than 70 million people, including about 13 million women of reproductive age, and is a government-led effort to protect vulnerable populations. This bears some resemblance to Thailand’s 30-baht universal health coverage scheme, known locally as the gold card system.

Proposed Republican-led budget cuts to Medicaid—the United States’ largest health insurance programme—could drastically increase healthcare costs and reduce access to essential health services for millions of women, according to recent reports. The potential policy shift is raising concerns among health advocates and experts who warn that low-income women, communities of colour, those with disabilities, and rural residents may be left without affordable care, including birth control, prenatal services, and vital screenings.