One of the effects of the megabill Donald Trump signed last week is that many rural hospitals may be forced to close because the bill changes the funding formula that keeps them afloat. Democrats have noticed and plan to exploit this to the hilt. In particular, the DCCC is going to target 35 Republican districts where rural hospitals are threatened. The ad is straightforward: "Congressman [X] voted for a bill that may force your beloved local hospital to close due to lack of federal funds. Time to get rid of him." The ads have started already and will continue for the time being, maybe indefinitely if there is enough money. It could be a potent issue. People care about local hospitals, especially in rural areas where the second closest one could be 100 miles away.
Another point that the ads will make is that starting in 2027, millions of people will lose their Medicaid. Since the cuts won't start before the midterms, it might not have the obvious effect. But carefully worded ads could make it even worse. People don't know who will lose care and who won't, so an ad that said: "The Republican bill might cause you to lose your health insurance next year." Since almost no one understands the details, some scare tactics could work well. Just blame the problem on the incumbent Republican member of the House. (V)