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July 11, 2025 — Ithaca, Medicaid and the Big Beautiful Bill/Harmful algal blooms are back in town

July 11, 2025 — Ithaca, Medicaid and the Big Beautiful Bill/Harmful algal blooms are back in town

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Part I: President Donald Trump signed the "Big Beautiful Bill" into law July 4 — and with it, some of the largest ever cuts to federal Medicaid spending. The program provides health insurance for about 15% of Tompkins County residents. Megan Zerez and Ithaca Voice Editor-in-Chief Matt Butler go over the cuts and what they might mean for us locally.

Part II: Potential harms to rural and small city hospitals have been a topic of debate nationally. Matt Butler speaks with Kevin Kerwin, the president of a trade group representing dozens of small hospitals in our region and elsewhere upstate.

Part III: The first harmful algal blooms of the summer have arrived in Cayuga Lake with a bang. Megan Zerez and Ithaca Voice environment reporter Fernando Figueroa talk about what these increasingly common phenomena mean for our watershed.

Editor’s note: transcript is auto-generated and may contain errors. Access it by clicking the transcript button on the embedded player.

Original air date: July 11, 2025

Produced and hosted by Megan Zerez.

Reporting by Megan Zerez, Matt Butler and Fernando Figueroa.

Cover photo by Casey Martin.

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