The cuts are deep.

It's not something that you can just forego easily and have a have a plan B, Right.

And we're talking about cuts that impact Medicaid.

Right.

And I don't think people understand what Medicaid funds as well.

It's not just health, right.

It's it's people's wellbeing, it's housing, it's social determinants of health that are impacted.

So an organization like Samaritas who is serving 38,000 people a year and a good portion of them are receiving those, the kind of funding that's going to be significant in terms of their their well-being, their ability to thrive, the amount of housing that we know, we're already in a crisis.

We don't have enough.

Right.

And these kind of cuts are not going to help that in any way, shape or form.

Our commitment at Michigan Medicine is, of course, to take care of our patients regardless of their ability to pay.

But the reality is coverage matters.

It matters in terms of being able to access all the services that patients in communities need from primary care to behavioral health.

As I mentioned in pediatrics, and absent continuity of coverage, people wont seek care now.

And we know, as we talked about, understanding the implications of that can only emerge fully with time.

We may see more use of emergency departments.

That may be more difficult for families and more expensive.

We may see avoidance of preventive care that leads to more challenging health outcomes in the future.

So it is difficult to predict the exact impact and what it will mean for patients in communities and their behaviors.

But at that moment you have a health care need and we're at our most vulnerable.

We have to be at our strongest together in ensuring that we have the right access to the right care.

At the heart of what nonprofits do, these are community based organizations.

We're there to serve community.

We are community.

And so anything that does not put resources into local communities becomes really problematic and certainly becomes problematic when there's not nonprofits that are there to provide those supports.

So a lot of the cuts and the things that are happening are of great concern to us.

For communities all over Michigan are rural, are urban, and really it's going to be our rural communities that are likely to be impacted the most right, because in some communities those are core centers, right?

Somebody can go to one nonprofit and get access to housing, food, child care.

If those entities have huge cuts in their budget, that means somebody has got to go miles into the next community before they're able to go to some of those kind of concrete community based institutions that are there supporting a variety of needs.