GOP Ads Mislead on Public Option Proposals’ Impact on Rural Hospitals

As Democrats release a flurry of midterm ads portraying GOP cuts to Medicaid as a threat to rural healthcare, Republicans have countered with ads claiming Democratic candidates in Texas and Pennsylvania would put dozens of rural hospitals out of business by creating a public health insurance option. But the ads cite an industry-backed study whose assumptions don’t apply to all public option proposals. 

In Texas, according to ad-tracking service AdImpact, President Donald Trump’s political operation has spent more than $6.9 million on an ad claiming James Talarico, the Democratic candidate for Senate, “supports a radical healthcare plan” that “could close 30 hospitals.”

And in central Pennsylvania’s 10th Congressional District, which includes the state capital of Harrisburg, an ad from a group backed by House Republican leadership claims Democrat Janelle Stelson supports “a plan to close up to 25 Pennsylvania rural hospitals” and accuses her of “closing the hospitals your family depends on.” 

Talarico, a state legislator, is running against state Attorney General Ken Paxton in the closely watched Texas matchup. Stelson, a former local news anchor, is challenging incumbent Republican Rep. Scott Perry. Both races are rated toss-ups by the Cook Political Report.

'TELL IT LIKE IT IS' FactChecking RFK Jr.’s Children’s Health Defense Keynote

Headlining a conference for Children’s Health Defense, the nonprofit he previously led that regularly spreads vaccine misinformation, Health and Human Services Secretary Robert F. Kennedy Jr. made a litany of familiar false and misleading claims, particularly about vaccines.

For a few months earlier this year, Kennedy had largely stopped talking about vaccines, reportedly at the request of the White House. Facing a surge of measles cases not seen in a generation, Kennedy had also at times offered a lukewarm recommendation to vaccinate, frustrating his hardline anti-vaccine supporters.

But in August, Kennedy appeared with President Donald Trump during the signing of an executive order that called for splitting up the measles, mumps and rubella, or MMR, vaccine. Trump inaccurately said the MMR vaccine is “quite lethal,” and Kennedy proceeded to falsely claim on cable television that there was new evidence to support breaking up the combination shot. The secretary also began an ongoing beef with Democratic Gov. Josh Shapiro of Pennsylvania over measles-associated deaths in the state.

Then, on Sept. 17, Kennedy gave the keynote speech for the one-day conference of Children’s Health Defense in Washington, D.C. Children’s Health Defense describes itself as working to “restore and protect the health of children by eliminating exposures to environmental toxins.” But the organization is one of the biggest sources of inaccurate vaccine information.

RFK Jr.’s Faulty Claim that U.S. Measles Response Is ‘Better’ Than ‘Any Other Country’

When asked about the largest surge in measles in over 30 years, Health and Human Services Secretary Robert F. Kennedy Jr. has repeatedly claimed that the U.S. is doing or has done “better … than any country in the world” in controlling outbreaks of the disease. But plenty of nations don’t have the high caseload America is now experiencing.

In recent remarks in Florida, Kennedy gave what has become his standard response when asked about measles.

“We’re doing a better job than any country in the world at controlling the measles outbreak. This is a worldwide epidemic,” he said when a reporter asked at an Aug. 26 event. “Mexico has 11 times the amount of measles cases as we do. Canada has four times the amount of measles cases. Britain has two times. … Every place there’s been a measles outbreak, I’ve sent the CDC in to cooperate with the state health agencies, and we’ve brought it to an end overnight.”

Kennedy has been claiming a superlative response and invoking international comparisons for months. In April, when testifying before Congress on multiple occasions, he repeatedly said that under his leadership the U.S. had “done better” at controlling, preventing or limiting measles outbreaks than any other country in the world, calling measles a “global outbreak.”

In June, when measles was surging in Virginia, Kennedy similarly told a local news outlet, “There’s a global measles epidemic right now. We’ve done better than any country in the world in controlling it.”

Midterm Ads Clash Over GOP Law’s Impact on Rural Healthcare

As the midterms approach, ads supporting Democrats and Republicans are making competing claims about how President Donald Trump’s signature domestic policy law will impact rural healthcare. 

Ads backing Republican candidates have highlighted their support for a $50 billion rural healthcare fund in the One Big Beautiful Bill Act — while ignoring its much larger cuts to Medicaid, which are expected to reduce funding for rural healthcare overall. Other ads similarly leave out the Medicaid cuts in misleadingly claiming that Democrats voted against funding for rural hospitals.

Democratic groups, meanwhile, have hammered Republicans over the possibility that those cuts could force some rural hospitals to close, often citing specific numbers of facilities that the law endangers. While the law is likely to have a significant financial impact on rural hospitals, experts told us it’s impossible to predict how many might close as a result.

Access to healthcare is a major issue in many rural areas, where people tend to have worse health outcomes and experience various barriers getting care, including shortages of healthcare professionals, long travel times, financially strained hospitals and gaps in essential services like maternity care.