Chicago safety net hospitals — those that have 70% Medicaid utilization — also will be hit hard, according to SEIU Healthcare, which represents more than 91,000 health care workers in Illinois, Indiana and Missouri.

Tyler Sherman, a nurse at a rural Nebraska hospital, is used to the area’s aging farmers delaying care until they end up in his emergency room. Now, with Congress planning around $1 trillion in Medicaid cuts over 10 years,