This week, Donald Trump embarks on a red state desperation tour, holding rallies in five states — including the GOP strongholds of Oklahoma, Alabama, and Nebraska. The fact that he’s out spending precious time in these states, which he won by double-digits in 2024, shows just how worried Republicans are about their chances at the polls this fall. And they have good reason to be. In Trump’s America, red state health care costs are through the roof, leaving residents without coverage and hospitals on the brink of closure. Red state farmers and consumers alike are in dire straits as gas and diesel prices go through the roof. No one has been spared the burden of Trump and Republicans’ affordability crisis. See how these three red states are doing in Trump’s America:
Oklahoma
- Health Care
- Trump and Republicans in Congress cut $1 trillion from Medicaid and ripped away Affordable Care Act (ACA) tax credits. Now, 180,000 Oklahomans in total are anticipated to become uninsured over the next decade.
- Premiums for nearly 290,000 Oklahomans who counted on the health tax credits Republicans gutted were estimated to increase by an average of 149% this year.
- 40 hospitals, clinics, and nursing homes in Oklahoma have been forced to close, cut services, or face the risk of doing so. Just last week, Ascension St. John Nowata announced it will be ending inpatient services.
- Over the next decade, losses are expected to snowball dramatically, with Republican cuts ripping away a staggering $10.7 billion from Oklahoma hospitals.
- Oklahoma hospitals and clinics are facing an additional $265 million loss in funding and a 12.4% spike in uncompensated care after Republicans ripped away ACA tax credits.
- Food
- Oklahoma farmers, already confronting deep losses, are buckling under the weight of sky-high fuel and fertilizer costs driven up by Trump’s war with Iran.
- In Oklahoma, no. 2 diesel, the standard fuel used in agriculture and transportation, jumped 118% this year, from $1.97 a gallon in January to $4.30 a gallon in September.
- Oklahoma fertilizer costs have jumped this year, with critical fertilizers up as much as 21% since January. The triple-13 blend is up 21%, liquid nitrogen (32) is up 17%, anhydrous ammonia is up 17%, and the triple-19 blend is up 11%.
- More than 144,000 Oklahomans have lost food assistance since Trump and Republicans passed nearly $200 billion in cuts to the program. SNAP enrollment in Oklahoma has dropped by over 20% since June 2025.
- Oklahoma farmers, already confronting deep losses, are buckling under the weight of sky-high fuel and fertilizer costs driven up by Trump’s war with Iran.
- Fuel
- Oklahoma gas prices are up 83% since January after rising from $2.25 a gallon in January — the cheapest in the country — to $4.11 a gallon as of late September.
- Oklahoma diesel hit a record high in late September after rising more than 110% since January, jumping from $2.86 a gallon in January to $6.03 a gallon as of late September.
Alabama
- Health Care
- Trump and Republicans in Congress cut $1 trillion from Medicaid and ripped away Affordable Care Act (ACA) tax credits. Now, 150,000 Alabamians in total are anticipated to become uninsured over the next decade.
- Alabama hospitals already report seeing more uninsured patients as tens of thousands have lost their coverage.
- Premiums for nearly 450,000 Alabamians who counted on the health tax credits Republicans gutted were estimated to increase by an average of 284% this year.
- 15 hospitals, clinics, and nursing homes in Alabama have been forced to close, cut services, or face the risk of doing so. This summer, Providence Hospital shuttered its labor and delivery unit, leaving expectant parents in Mobile scrambling to find new providers.
- Over the next decade, losses are expected to snowball dramatically, with Republican cuts ripping away a staggering $1.2 billion from Alabama hospitals.
- Alabama hospitals and clinics are facing an additional $939 million loss in funding and a 18.3% spike in uncompensated care after Republicans ripped away ACA tax credits.
- Trump and Republicans in Congress cut $1 trillion from Medicaid and ripped away Affordable Care Act (ACA) tax credits. Now, 150,000 Alabamians in total are anticipated to become uninsured over the next decade.
- Food
- Alabama farmers, already confronting drought conditions and deep trade losses, are buckling under the weight of sky-high fuel and fertilizer costs driven up by Trump’s war with Iran.
- In Alabama, no. 2 diesel, the standard fuel used in agriculture and transportation, has jumped 99% this year, from $2.73 a gallon in January to $5.42 a gallon by mid-September.
- Alabama fertilizer costs have spiked as much as 33% between January and September thanks to Trump’s war with Iran. Manure is up 33%, liquid nitrogen is up 21%, and urea is up 17%.
- More than 84,000 Alabamians have lost food assistance since Trump and Republicans passed nearly $200 billion in cuts to the program. SNAP enrollment in Alabama has dropped by nearly 12% since June 2025.
- Alabama farmers, already confronting drought conditions and deep trade losses, are buckling under the weight of sky-high fuel and fertilizer costs driven up by Trump’s war with Iran.
- Fuel
- Alabama gas prices are up more than 65% since January after rising from $2.46 a gallon in January to $4,07 a gallon as of late September.
- Alabama diesel hit a record high in late September after rising 88% since January, jumping from $3.27 a gallon in January to $6.16 a gallon as of late September.
Nebraska
- Health Care
- Trump and Republicans in Congress cut $1 trillion from Medicaid and ripped away Affordable Care Act (ACA) tax credits. Now, 54,000 Nebraskans in total are anticipated to become uninsured over the next decade.
- Earlier this summer, Nebraska became the first state to launch GOP-mandated Medicaid work requirements. Since Republicans passed their health care cuts, an estimated 40,000 Nebraskans have already lost the Medicaid/CHIP or ACA coverage they relied on to access care.
- Premiums for over 125,000 Nebraskans who counted on the health tax credits Republicans gutted were estimated to increase by an average of 160% this year.
- 10 hospitals, clinics, and nursing homes in Nebraska have been forced to close, cut services, or face the risk of doing so. Just this week two assisted living centers in Nebraska announced that they will close due, in part, to “Medicaid pressures.”
- Over the next decade, losses are expected to snowball dramatically, with Republican cuts ripping away a staggering $1.1 billion from Nebraska hospitals.
- Nebraska hospitals and clinics are facing an additional $113 million loss in funding and a 6% spike in uncompensated care after Republicans ripped away ACA tax credits.
- Food
- Nebraska farmers, already confronting deep losses, are buckling under the weight of sky-high fuel and fertilizer costs driven up by Trump’s war with Iran.
- More than 25,000 Nebraskans have lost food assistance since Trump and Republicans passed nearly $200 billion in cuts to the program. SNAP enrollment in Nebraska has dropped by over 17% since June 2025.
- Fuel
- Nebraska gas prices are up almost 75% since January after rising from $2.49 a gallon in January to $4.34 a gallon as of late September.
- Nebraska diesel hit a record high in late September after rising over 100% since January, jumping from $3.10 a gallon in January to $6.21 a gallon as of late September.
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