President Trump's new Medicaid work rules are crushing Colorado counties already stretched thin. David W. Chen and Ruth Fremson reveal how federal shifts force local governments to juggle costly, complex mandates, worsening resource gaps across regions. Discover the real fallout of decentralized welfare reform. Read more: https://www.nytimes.com/2025/09/30/us/politics/counties-medicaid-cuts.html #DavidWChen #RuthFremson #MedicaidCuts #TrumpPolicy #Colorado #CountyBurden #WelfareReform