Like, oh, lifesaving therapy for their spouse or child, humane care for their parents, medication for their own mental health. We had Sentara buy one of our Medicaid providers and immediately change the whole formulary. Kids who had been stable on psych meds for years had go off on short notice and start over with a whole new set of “approved” drugs. No appeals, no provisions for more time. Do it now, or pay out of pocket. Now we are looking at tons of kids getting abruptly thrown off Medicaid due to trigger laws here as soon as Il Douche and his cronies stop the expansion payments. And yes, I believe that taking care of our children (and they are all our children damn it) is pretty damned important. God, I hate this timeline.