Britton Winterrose, an AI advisor at Microsoft for Startups and a prominent angel investor, has issued a stark warning on social media, stating, "gonna start calling some of you out, the point is a public reckoning." The tweet, posted on September 11, 2025, signals an intensified push for accountability concerning proposed federal Medicaid cuts that threaten healthcare access for millions. This comes as Washington State faces potential cuts of $2 billion to $3 billion under the federal proposals.
The "public reckoning" referenced by Winterrose is deeply rooted in his personal advocacy against significant reductions to Medicaid. These proposed cuts, totaling an estimated $700 billion over a decade at the federal level, have drawn widespread criticism for their potential impact on vulnerable populations and the broader healthcare system. Republicans in Congress have put forward these proposals, which critics argue would disproportionately affect states like Washington.
Washington State Governor Bob Ferguson has been a vocal opponent of the proposed cuts, warning that they could fundamentally disrupt the state's healthcare system. Nearly 2 million Washingtonians, approximately one in five residents, rely on Apple Health, the state's Medicaid program. The governor highlighted that the cuts could lead to a loss of an estimated $1 billion in hospital reimbursements by 2031, with 31% of rural hospitals in the state at risk of losing services or closing.
Winterrose's impassioned stance stems from his daughter, Leda, who has congenital central sleep apnea and requires Medicaid to cover life-saving medical equipment. "Without Medicaid, my daughter’s next nap could be her last," Winterrose stated at a June 2025 press conference with Governor Ferguson, emphasizing the program's critical role in his family's ability to manage her condition. He further explained that even the best private insurance plans often do not cover the extensive and ongoing needs of children with complex medical conditions.
The proposed legislation, dubbed the "One Big Beautiful Bill Act," would not only affect Medicaid recipients but also potentially increase healthcare costs for those with job-based insurance, with estimates suggesting yearly cost hikes of up to $485. Governor Ferguson has called the proposals "morally bankrupt," asserting that they represent a "massive wealth distribution from the folks lowest on our economic ladder to those at the very, very extreme, highest on the economic ladder." Winterrose's call for a "public reckoning" underscores the growing demand for transparency and accountability from policymakers regarding these far-reaching healthcare decisions.