07/18/2025
By Ariana Gordillo De Vivero and Harley JonesJuly 18, 2025
Gordillo De Vivero is senior director of strategic initiatives at the National Association of Free and Charitable Clinics. Jones is U.S. program director at Project HOPE.
“It will be years before the U.S. feels the full weight of the recent sweeping Medicaid cuts. But the free and charitable clinics that act as the last line of defense for the health and well-being of uninsured Americans are already preparing to pick up the pieces.
These nonprofit clinics are the backbone of America’s health care safety net. They deliver high-quality, free, or low-cost care to uninsured and underserved Americans through a blended staff-volunteer model. According to the National Association of Free & Charitable Clinics (NAFC)’s 2025 report, these patients represent some of the most vulnerable populations in the country: Eighty-four percent were uninsured, and 59% were employed but still unable to afford or access health insurance. Seventy-six percent lived at or below 200% of the federal poverty level, underscoring the economic barriers facing too many Americans.”