GLOBE, Ariz. — Like many residents of this copper-mining town in the mountains east of Phoenix, Debbie Cox knows plenty of people on Medicaid.
Cox, who is a property manager at a real estate company in Globe, has tenants who rely on the safety-net program. And at the domestic violence shelter where she volunteers as president of the board, Cox said, staff always look to enroll women and their children if possible.
But Cox, who is 65, has mixed feelings about Medicaid.
"It's not that I don't see the need for it. I see the need for it literally on a weekly basis," she said. "I also see a need for revamping it significantly because it's been taken advantage of for so long."
It wasn't hard to find people in Globe like Cox with complicated views about Medicaid.
Gila County, where Globe is located, is a conservative place — almost 70% of voters went for President Trump in November. And concerns about government waste run deep.
Like many rural communities, it's also a place where people have come to value government health insurance. The number of Gila County residents on Medicaid and the related Children's Health Insurance Program has nearly doubled over the past 15 years, according to data from the Georgetown University Center for Children and Families. Today, almost 4 in 10 residents are on one of the health insurance plans for low- and moderate-income people or those with disabilities.
So
, since House Republicans passed plans to
cut roughly $716 billion from Medicaid, the national debate taking place over the program hits close to home for many Globe residents, even as some welcome the prospect of tighter rules and less government spending.