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Dr. Beth Duggan, Vice Chair of faculty development at UAB, and Dr. Daryl Oakes, Stanford Associate Dean of Post Graduate Medical Education, speak on ways anesthesiologists can escape being pigeonholed to instead craft a fulfilling and sustainable career.

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When Congress celebrated July 4 by enacting House Resolution 1 (known as H.R. 1 or the “One Big Beautiful Bill Act”), experts warned of massive impacts on Medicaid programs nationwide and the more than 70 million people who rely on them.

H.R. 1 cut nearly $1 trillion from Medicaid, the largest funding reduction in the program’s 60-year history. The nonpartisan Congressional Budget Office estimates that by 2034, as many as 10 million individuals nationwide will become uninsured as numerous new eligibility rules are imposed in Medicaid and ACA programs.

The Medicaid program, known as Medi-Cal in California, covers more than half of the state’s children, 2.2 million seniors and people with disabilities, 1 in 5 working Californians, and millions of other people with low incomes. H.R. 1 is expected to cut $30 billion a year in federal funding from Medi-Cal, reducing overall access to care and possibly pushing some safety net providers into dire straits, according to the California Budget and Policy Center. Up to 3.4 million state residents could lose coverage, the center said. As the uninsured population rises, more medical bills will go unpaid, cutting revenue for California’s health care safety net.

Join my guests today who will explain the impact this will have on rural healthcare in California and the effect on anesthesiology services.

Charley Yan is a fourth-year medical student at UC Davis with a background in Medicaid policy. Before medical school, he helped drive California’s Medicaid expansion efforts and has since analyzed coverage and safety-net policies across multiple states.

Mary Morales is an anesthesiologist at Stanford. She is the current vice chair of the CSA Justice, Equity, Diversity, and Inclusion committee (JEDI).

Naileshni Singh (pronounced Na-Lesh-Knee Sing) is a pain interventionalist with a background in Anesthesiology from the University of California, Davis. She is the current chair of the California Society of Anesthesiologist's Justice, Equity, Diversity, and Inclusion committee (JEDI).

Resources:

https://csahq.org/2025/09/02/federal-funding-cuts-threaten-rural-californias-health-anesthesia-care/

https://www.chcf.org/resource/how-massive-federal-cuts-will-create-unprecedented-challenges-medi-cal-patients-providers/

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Dr. Ludwig Lin (@LudwigLin) of CSA’s Vital Times Podcast catches up with one of the Match 2026 viral stars - Shay Taylor Allen (@Shayy.Taylor), a MS4 at Howard University School of Medicine, whose clip of herself jumping up and down in celebration when she matched to her first choice of Yale Anesthesiology Residency. As the first episode in a CSA Vital Times podcast arc about job crafting within Anesthesiology, Drs. Lin and Taylor Allen talk about her journey through life and medicine, and the important mentors, allies and champions who helped her innate resilience in clarifying and achieving her goals. #Jobcrafting #ShayTaylorAllen