Seattle — Thursday, July 26th.

What began as a gathering of 15-20 healthcare workers and community activists quickly swelled to over 100 healthcare workers, union members, and supporters. The group first gathered at Harborview Park before marching through downtown Seattle. They made stops at Victor Steinbrueck Park and finally converged on Amazon’s headquarters.

Their message was urgent: looming federal Medicaid cuts threaten to severely reduce healthcare access. At the same time, they warned, billionaires stand to receive massive tax breaks. Speakers denounced this as “the biggest transfer of wealth from the poor to the rich in U.S. history.”

“We’re seeing billionaires grabbing everything they possibly can, leaving working-class and poor people to scramble for the crumbs,” said Kimela Vigil, a mental health practitioner and vice president of the Harborview Union. She linked the $4.5 trillion in proposed cuts to a broader agenda: “The dismantling of the legal system, attacking education systems, using the military to suppress free speech, all of those are the perfect formula for authoritarianism and fascism… We are in it right now… Our role is to resist, to not be complacent.”

The cuts threaten to reverse healthcare gains at safety-net hospitals like Harborview, where uninsured rates dropped from 12% to 3% under the Affordable Care Act. Now, Vigil warned, the hospital could “lose $8.4 million annually for every 1% of Medicaid patients shifted to uninsured status.” She accused lawmakers of deliberate timing: “They designed these cuts to kick in after the election so they won’t be held accountable.”

The human cost was made starkly clear by frontline workers. “Medicaid is not just for poor people, it is for everyone,” said Harborview RN Sam Conley. “When hospitals can’t get reimbursed for care, our whole system breaks down…When people can’t afford treatment, they don’t get better, they get sicker.” RN Naomi Morris shared a life-or-death example: “Right now I have a 13-year-old patient with diabetes. His care is funded by Medicaid. It’s the reason he continues to survive.”

The rally highlighted how proposed Medicaid cuts fit into a broader pattern of austerity measures, from the elimination of food assistance to reduced childcare funding, while corporations and enforcement agencies reap benefits.

“SNAP cuts have already spiked food bank visits by 200% since 2019,” said Carmen Smith, Executive Director of the White Center Food Bank. “This is not unique to White Center Food Bank. It’s a trend we’re seeing across Washington State and across the nation.”

Meanwhile, the bill triples ICE funding while shrinking child care subsidies. SEIU 925 shared the story of Nicolle Orozco Forero, an asylum-seeking daycare provider detained and deported just days before opening her business—along with her entire family, including her severely ill son.

Corporate tax breaks, dubbed the “Big Ugly Bill” by critics, further fueled outrage. “…the biggest transfer of wealth in American history,” said Sterling Harders, President of SEIU 775, “and yet Amazon has more workers who rely on Medicaid than any other employer in Washington State.”

Yolanda King of SEIU 1199 invoked the spirit of civil rights resistance: “My grandparents stood with Dr. King. They understood that they’re not going to give it to us, we have to take it. Today we are saying that we are going to take back what is ours. This country belongs to us. We are the people, and we need to make a demand.”

Girmay Zahilay, a King County Councilmember, delivered a blunt assessment of the cuts’ local impact: “The budget director of King County told us, there is no way that King County on its own can backfill the scale of cuts coming from the Federal Government.” Zahilay outlined stopgap measures, pointing to the county’s allocation of $1 million to shore up reproductive healthcare clinics after Medicaid cuts threatened Planned Parenthood and Cedar River Clinics.

But he stressed the disparity in resources: “We can use the tools that we have from the state legislator,” he said, referencing a newly passed criminal justice sales tax expected to generate $90 million annually for homelessness and behavioral health services. The state has also authorized a new sales tax, but Zahilay admitted the choice feels wrong. “It’s either use that regressive tax or allow devastating cuts to happen in our community that we can’t stomach,” he said.

Planned Parenthood Alliance Advocates greater Seattle organizer Madeline Brown delivered stark projections about the Medicaid cuts’ impact: “These cuts to Medicaid are going to increase and are going to result in 200 clinic closures, 90% of which are going to be in access states like Washington.”

She warned of systemic consequences: “Our healthcare system cannot handle the influx of those patients…after the midterm election, we know that 17 million people are going to be kicked off of their healthcare.”

Brown concluded with the rally’s defining message, met with applause from healthcare workers in scrubs and union members holding signs: “When Republicans choose billionaires, we choose each other.”