The Dictatorship
What Republicans and RFK Jr. tried to hide from you about Medicaid
When Sen. John Barrasso of Wyoming asked Robert F. Kennedy Jr. about his commitment to aiding rural hospitals during Kennedy’s confirmation hearingit was one of the rare moments when both a Republican senator and President Donald Trump’s nominee to head the Department of Health and Human Services appeared to be making sense. Of Wyoming’s 33 hospitals, Barrasso said, six are at risk of closing. Kennedy agreed: “Rural hospitals are closing at an extraordinary rate right now.” He added that rural hospitals “not only provide important health care for the localities, but they are also important economic drivers.”
Which is true: In many rural areas, you’ll find that the two largest employers are the local schools and the nearest hospital. What you wouldn’t have heard — either from Kennedy or the Republicans on the committee, a number of whom brought up the importance of rural health care — was any mention of the single most important thing the federal government could do to stabilize rural hospitals: expand Medicaid. And that omission spoke volumes about how Republicans view rural Americans.
Kennedy doesn’t want to contradict his new Republican allies’ credo.
Barrasso’s Wyoming is one of 10 states that still refuses to accept the expansion of Medicaid that was part of the Affordable Care Act. The state’s GOP-controlled government prefers to leave millions of citizens without health insurance rather than allow them to receive it from the federal government. Since the ACA passed in 2010, over 150 rural hospitals have either closed completely or eliminated their inpatient services — most of them in the South, where the refusing states are concentrated. Texas, where Republicans dominate the Legislature and control every statewide office, has seen more rural hospital closures than any other state.
And even though rural Americans are more likely to rely on Medicaid than those who live elsewhere, Republicans in Washington are contemplating huge Medicaid cutspartly to pay for more tax cuts for the wealthy. A list of possible cuts from the House Budget Committee includes capping the amount that will be spent in every state and imposing work requirements on recipients, which in practice provide little more than a means of taking away people’s coverage when they fail to successfully navigate a bureaucratic obstacle course. As a recent report from Georgetown University found, “rural communities are at grave risk if substantial federal cuts are enacted.”
Kennedy won’t be doing anything to persuade the holdout states to accept the ACA’s Medicaid expansion — and, like Trump, he trash-talks the ACA as a whole. “Americans by and large do not like the Affordable Care Act,” he said in the hearing. “They don’t like Medicaid.”
On this score, Kennedy is either ignorant or lying — and either quality is alarming in someone who has been nominated to oversee these very programs. The Affordable Care Act has become extremely popular; in the latest KFF poll64% of Americans say they approve of the law. Medicaid is even more popular; 77% have favorable views of the program, and 69% say it works well for low-income people, as do 75% of those who have used it themselves. But Kennedy doesn’t want to contradict his new Republican allies’ credo that government involvement in health care is necessarily inferior to the operation of the private sector.
Nowhere is that less true, however, than in rural America. Most of the health care problems rural people face — from closing hospitals to a lack of clinics to a shortage of doctors and nurses — happen precisely because of the limitations of the free market. It’s just not as profitable to sell health care in places with small, often poorer populations spread out over large areas. These problems can only be solved by government intervention and assistance, whether it’s by paying for people’s coverage so hospitals can stay afloat or incentivizing doctors to move to rural areas.
Those Republicans all understand an important political truth: They can take the votes of their rural constituents for granted.
Then there’s the issue of vaccines. Kennedy spent much of his confirmation hearing denying that he opposes all vaccines, but the truth is that there is no single American who has done more to spread disinformation and distrust of vaccines than him — which is particularly threatening to rural health. Rural Americans were much less likely to get the Covid vaccines when they became available, which almost certainly contributed to higher rates of Covid mortality in rural areas.
There were plenty of other unsettling parts of Kennedy’s testimony. But just as, if not more disturbing was hearing one Republican senator after another speak of their passion for improving rural health care, when their party seems so determined to undermine the very programs that keep it from getting even worse.
Those Republicans all understand an important political truth: They can take the votes of their rural constituents for granted. No matter how much the Republican Party continues to make it harder for them to stay healthy, rural Americans — more specifically, rural white voters — will keep returning them to office, where these Republicans try to cut vital programs and confirm cranks like Kennedy to run important agencies.
But that’s what we’ve come to expect from a party and a president that hold the very idea of effective government in contempt. They can try to tell us how much they care about Americans’ health, but their actions show what they really believe.
DETROIT (AP) — The opening of a Canadian-U.S. bridge across the Detroit River, which President Donald Trump had previously threatened to block, was delayed Thursday due to unresolved issues.
In a statement released before a scheduled Friday ribbon-cutting ceremony at the bridge, the Windsor-Detroit Bridge Authority said that “Canada and the United States have agreed to delay the opening of the bridge, taking the necessary time to resolve any outstanding issues.” It didn’t elaborate on what those issues are or how long the delay would last.
The 1.5-mile-long (2.4-kilometer-long) Gordie Howe International Bridge spans the Detroit River and connects the Motor City with Windsor, Ontario. The bridge is jointly owned by Canada and Michigan and was expected to open to traffic later this month.
But the opening had been thrown into question after Trump in February demanded in a social media post that Canada turn over at least half of the bridge’s ownership to the U.S. federal government and agree to other unspecified demands in one of the Republican president’s many salvos over cross-border trade issues.
Michigan officials and the White House had been in contact for months about the bridge following Trump’s post, with the understanding that the opening would move forward Friday. Invitations for the bridge’s opening went out this week following a conversation between Michigan Gov. Gretchen Whitmer, a Democrat, and White House chief of staff Susie Wiles.
“This project is a powerful example of bipartisan and international cooperation, and the governor looks forward to attending the ribbon-cutting ceremony when it happens,” a statement from Whitmer spokesperson Bobby Leddy said.
New bridge a “long-term play”
Internal disagreements within the Trump administration threw those plans into question, as Commerce Secretary Howard Lutnick pushed back on the opening, according to two people with knowledge of the matter who insisted on anonymity to discuss the private talks.
The White House did not immediately return a request for comment Thursday.
Canadian Prime Minister Mark Carney said Thursday evening, “At the request of the United States we agreed to delay the opening and take the necessary time to resolve outstanding issues.”
He added, “There are some things that have been raised, a series of technical aspects, which we will work through with the United States.”
Even with the delay, officials remained optimistic that the bridge — a roughly $4.4 billion project — is still expected to open.
“We need to keep this very much in perspective,” said Sandy Baruah, president of the Detroit Regional Chamber and former U.S. assistant secretary of commerce. “Our organization, the state of Michigan and others have been working on this bridge for 20 years. If it opens July 1, Aug. 1 or Sept. 1, I’m not going to get overly agitated about it. This is a long-term play.”
Named after the late Canadian Hockey great Gordie Howe, who spent 25 seasons leading the Detroit Red Wings, the bridge is expected to be another vital economic artery between Canada and the United States.
The construction project was negotiated by Rick Snyder, the former Republican governor of Michigan, and paid for by Canada to help ease congestion at the existing Ambassador Bridge and the Detroit-Windsor tunnel. Work has been underway since 2018.
U.S. Sen. Elissa Slotkin, a Michigan Democrat, said she’s taking people at their word that the holdup is “a minor hiccup.”
“This is probably the most bipartisan issue in the state of Michigan, so it’s ridiculous that we can’t just seal the deal,” Slotkin said.
Commerce and border crossings
Detroit and Windsor have been neighborly for generations, with residents in both countries frequently crossing the shared river border for entertainment and shopping. Windsor’s population in 2021 was about 230,000. Like Detroit, the Canadian city’s economy has a strong focus on manufacturing and the auto industry.
Commercial trade between the two cities primarily has been across the nearly century-old and privately-owned Ambassador Bridge, which is closer to downtown Detroit than the Gordie Howe Bridge.
The Ambassador Bridge had been the busiest commercial border crossing between the United States and Canada until last year, when truck traffic along the Blue Water Bridge connecting Port Huron, Michigan, to Sarnia, Ontario, surpassed the Ambassador Bridge’s numbers, according to the Bridge and Tunnel Operators Association.
In 2025, about 2.1 million trucks crossed the Blue Water Bridge compared to just over 1.8 million that used the Ambassador Bridge. About 3.5 million passenger vehicles used the Ambassador Bridge last year, while 1.6 million crossed via the Blue Water Bridge.
Combined, more than 9.2 million vehicles crossed the border on those two bridges in 2025, according to the U.S. Bureau of Transportation Statistics.
More than 3.7 million cars and SUVs also traveled between the United States and Canada last year via the Detroit-Windsor Tunnel.
Both bridges and the tunnel are working at full capacity, and the new bridge will help improve the efficiency of commercial and personal traffic between the two countries, Baruah said.
“This is what government is supposed to do, make it easier for business to conduct commerce,” he said.
___
Cappelletti reported from Washington.
President Donald Trump’s planned UFC fight on the White House’s South Lawn has required a monumental effort from more than seven federal agencies, hundreds of staff working onsite daily and at least $60 million, according to a legal filing that offers a glimpse into the preparations.
The event is part of the 250th anniversary of America’s founding, and is scheduled for the weekend with the main attraction — seven mixed martial arts matches — on Sunday.
That is, if a judge doesn’t halt the proceedings, which is sought by two Virginia residents in a federal lawsuit against the National Park Service, which oversees the South Lawn.
The agency filed a rebuff of the request Tuesday in court, and, in it, laid out the operations for the event.
“Well over $60 million and tens of thousands of hours of labor have been expended,” the document read, adding that the money came from the UFC and groups affiliated with it.
The Octagon
It’s the eight-sided cage that surrounds the sometimes bloodied combatants and sits at the center of the constructed arena on the South Lawn.
The arena is expected to hold 4,000 spectators, with another 120,000 visitors — who swung tickets from an online lottery — anticipated to watch from the nearby Ellipse.
The installation began May 20, and the Secret Service worked with the UFC to screen between 20 and 30 trucks of equipment — as well as between “700 and 900” staff — that came in daily for the installation.
The document did not specify the extent of government resources spent on the project, but said seven agencies, including Homeland Security and the Federal Aviation Administration, have “allocated significant resources and manpower.”
The schedule
It’ll kick off Saturday with a ceremonial weigh-in at the Ellipse, followed by a concert by country musicians The Zac Brown Band.
A UFC Freedom 250 Fan Fest will be ongoing through the weekend, with “interactive experiences,” live shows, celebrity appearances, “exclusive on-stage moments,” meet and greets, live music and interviews with the athletes.
Sunday night is when the seven bouts kick off. At the close, Trump is scheduled to fly to France for the G7 summit.
Disassembly of the installations will begin the next day, and they are expected to be entirely removed by June 23.
The athletes’ Epsom salt baths
There are 14 athletes competing, and their training is rigorous.
Preparations start months in advance, working toward more intense weight cutting and diet alteration in the final week that can include fasting, extreme sauna use and hot Epsom salt baths.
They could be shaving as many as 20 pounds before weigh-ins, which are designed to keep the competition fair between similarly weighted combatants.
Lawsuit calls it ‘corrupt’
It was filed Saturday by the Public Integrity Project on behalf of the two Virginia residents and argues that Trump’s authorization of the event violated National Park Service regulations prohibiting sporting events on federal parklands.
One of the attorneys, Brendan Ballou, characterized it as a “corrupt use of our most sacred national monuments for private gain.”
The National Park Service pushed back on that claim, but also detailed the event’s preparations to make a point.
“All these hopes could be dashed at the very last moment,” it read, “by the whim of two people who believe they have superior taste and want to spoil the event for everyone else.”
FBI agents on Thursday raided the Cleveland offices of the Ohio Organizing Collaborative, a pro-democracy organization that helps register voters in that state, according to three people briefed on the search.
Agents also fanned out across the state, showing up at the homes of the group’s leaders and staff members, carrying some subpoenas and seeking information and electronic devices, according to the people, two of whom spoke on the condition of anonymity to discuss a sensitive ongoing investigation. Members of the group had made contact with lawyers on Thursday to determine their legal options, the people said.
Prentiss Haney, a board member for Ohio Organizing Collaborative, told MS NOW Thursday night that agents approached people with connections to Ohio Organizing Collaborative, including some who had performed basic canvassing and volunteer work for the group, and began pressing them for information.
Agents were “basically trying to fish for information,” said Haney.
“They had agents all across the state going to civil rights leaders and community leaders’ doors intimidating them, coming and demanding that they talk about literally anything they would ask,” Haney said, adding that agents “asked them if they’re committing voter fraud, just on their doors, in front of their houses with their children, and just following them to work and school.”
Haney said some of the people said the agents approached without warrants.
“Just straight-up intimidation tactics,” he said.
Spokespeople for the FBI and the Justice Department did not immediately respond to requests for comment late Thursday night.
Those sources familiar with the investigation said they are concerned this new effort in Ohio is part of the Trump administration’s efforts to sow doubt and distrust in voting integrity in key swing states ahead of the midterm elections.
Federal agents have in recent months launched inquiries and investigations into voting protocols in Georgia and Wisconsin, have subpoenaed voting records in Arizona and sought reviews of voting machines in Puerto Rico.
According to its website, the Ohio Organizing Collaborative facilitates statewide voter registration through grassroots, community-led programs, including its “Democracy Builders” initiative. This collaborative works in Ohio’s major metropolitan areas, such as Cleveland, Columbus and Cincinnati, to help underrepresented communities register to vote and provides other support.
The group has also joined lawsuits challenging redistricting efforts that it argues reduce Black voters of representation. These lawsuits also “stand your ground” laws that allow a person to shoot someone if they feel threatened.
Haney said the Cleveland raid and harassment of staff are unjustified and that investigators lack any evidence of wrongdoing.
“How can they distract and intimidate civil rights leaders and voters and community leaders who are helping people get registered to vote and create a national spectacle about it?” he said.
“That is the only reason why they would choose to do that, do it now, in the middle of a contested political election in the state. There’s no other reason. They have no evidence of that.”
Carol Leonnig is a senior investigative reporter with MS NOW.
Will McDuffie is a reporter for MS NOW.
Alex Tabet is a reporter for MS NOW.
Laura Barrón-López covers the White House for MS NOW.
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