Over the last 18 months, the Trump administration and Congressional Republicans have turned their backs on rural Americans. While the poverty rate in rural areas is more than 3 percentage points higher than in metropolitan areas, Republicans have avoided addressing the economic challenges facing rural communities. Rather than put forth real solutions, Republicans worked to strip health care coverage for rural families, endanger farm household incomes, and take away nutrition assistance for the neediest of families.

Although the U.S. economy overall continues its expansion following the Great Recession and associated financial crisis, the recovery can look very different from state to state. The lion’s share of economic gains are not only concentrated at the top of the income and wealth distribution, but also in a small share of regions. While some parts of the country have surged ahead, millions of Americans in urban and rural communities are still waiting for their wages to start rising again and struggling to make ends meet.

Before Medicaid, many Americans couldn’t afford the care they needed. For more than 50 years, the Medicaid program has guaranteed access to comprehensive health insurance for millions of people, providing coverage to over 72 million beneficiaries today. In doing so, Medicaid has bolstered the U.S. economy and provided an important backstop to the country’s economic security.

As life expectancy has increased over the past half century, Americans are living longer today during retirement than their parents did. Social Security is the economic backbone to millions of Americans, many of whom use it to better support themselves in retirement, and to millions of workers who have become disabled as well as their families. Social Security’s support is proof that we are committed to protecting and supporting workers when they leave the job.