For starters, the dodgy combination of federal funding, used chewing gum, and duct tape that holds our health care system together is losing the federal funding part. Even if the duct tape holds, calling it an unmitigated disaster doesn’t even begin to cover it. President Donald Trump’s “One Big Beautiful Bill Act,” which somehow is now law, contains devastating cuts to funding for Medicaid and Affordable Care Act (ACA) subsidies. Our state stands to lose about $4 billion in federal funding for both programs, according to Andre Stackhouse, executive director of Whole Washington, the group behind the WHT. That could render as many as 750,000 Washingtonians uninsured, he added, doubling our state’s uninsured population.