"But these cuts will most certainly impact those not on Medicaid as well. Medicaid is the backbone of healthcare in the state of Alabama. Nearly one million children and elderly citizens depend on Medicaid for their healthcare services, or just below 25% of the state's population. If Medicaid makes significant cuts to physician payments, many physicians, and in particular those who serve a large number of Medicaid patients, would be forced out of business and maybe out of Alabama."