There are two rural health transformations afoot in West Virginia. One is an innovation transformation being led by Gov. Patrick Morrisey. The other is a devastation transformation brought about by $911 billion in Medicaid cuts in the so-called One Big Beautiful Bill passed by Congress this summer.

As a family physician who has served Fayette County for more than 45 years, I am concerned about the impact that both transformations will have on health care in our state.

As it pertains to what I call the "innovation transformation," Morrisey announced the concept at a news conference on Nov. 5 and has been touting it ever since. When Republican members of Congress realized the devastation that Medicaid cuts would bring to rural hospitals and rural people in their states, they demanded and g

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