When Washington talks about cutting Medicaid, the impact doesn’t just stay in D.C.—it shows up on the frontlines in counties and communities across America. In this episode, Amanda Pears Kelly sits down with Blaire Bryant from the National Association of Counties (NACo) to look at what Medicaid funding really means locally. From the strain on county budgets and safety nets to the challenges facing community health centers and hospitals, Blaire explains how these decisions affect local leaders’ ability to deliver essential services while keeping costs under control for taxpayers.