The “One Big, Beautiful Bill Act” that Republicans are attempting to ram by means of Congress is being billed as President Donald Trump’s tax and immigration invoice, extending the 2017 tax cuts that overwhelmingly favor the wealthy whereas funding Trump’s evil immigration crackdown.
However in actuality, the dogshit laws is only a backdoor approach for Trump and the GOP to repeal the Reasonably priced Care Act, President Barack Obama’s signature legislative achievement that has helped tens of hundreds of thousands of People get medical insurance or Medicaid protection.
“They’re not calling this ACA repeal and replace, but the coverage losses would be among many of the same people who would have lost their insurance under ACA repeal,” Larry Levitt, KFF govt vice chairman for well being coverage, informed the Washington Submit.
If it passes, the “One Big, Beautiful Bill Act” would power almost 14 million individuals to lose their insurance coverage protection so the GOP might—partially—offset the price of tax cuts for the wealthy, which it might do in a number of methods.
First, the invoice primarily scales again the ACA’s Medicaid growth by limiting the quantity that states can get reimbursed, leaving states to search out hundreds of thousands in funding to cowl these prices or reduce who is roofed. Teams just like the American Hospital Affiliation strongly oppose the invoice, as adjustments to Medicaid’s reimbursement might result in hospital closures, particularly in rural areas that supported Trump in 2024.
Protesters are seen supporting Obamacare in 2012.
“The Medicaid legislative proposals severely restrict the use of legitimate state funding resources and supplemental payment programs, including provider taxes and state directed payments, under the guise of eliminating waste, fraud and abuse. We reject this notion as these critical, legitimate and well-established Medicaid financing programs are essential to offset decades of chronic underpayments of the cost of care provided to Medicaid patients,” AHA President and CEO Rick Pollack mentioned in a press release.
“These new policies are estimated to decimate federal support for the Medicaid program by more than $700 billion over 10 years and will displace health care coverage for millions of Americans, moving them from insured to uninsured status,” he added.
Republicans are additionally attempting to impose work necessities on Medicaid recipients, which consultants say will power eligible individuals to lose their Medicaid because of onerous paperwork points.
In the meantime, Republicans are additionally refusing to increase an growth of subsidies that congressional Democrats handed of their first COVID-19 aid invoice in 2021, which helped hundreds of thousands of individuals afford insurance coverage. With out an extension, prices will enhance for hundreds of thousands of People, ultimately inflicting 5 million individuals to lose their insurance coverage
However this might spell political doom for Republicans within the 2026 midterms.
An April ballot from Navigator Analysis exhibits that the Obamacare subsidies are overwhelmingly common, with 79% of individuals in help. And a March Civiqs ballot for Each day Kos discovered that 63% of registered voters oppose reducing applications like Medicaid and meals stamps.
Democrats, for his or her half, plan to make this a spotlight within the 2026 midterms, with Senate Democrats drawing consideration to the invoice’s well being care cuts to gin up public backlash.
Equally, Shield Our Care, a bunch looking for to broaden well being care entry, is already working adverts in 11 GOP-held Home districts attacking Republicans who voted for the “One Big, Beautiful Bill Act.”
“Republicans know how indefensible their tax bill is: that’s why they held hearings in the dead of night and wrote the bill behind closed doors. We’re making sure the American people know the dire consequences of what their elected officials voted for and, undoubtedly, Republicans will pay a heavy price for putting billionaires ahead of their constituents’ health,” he continued.
Historical past exhibits that this may be extraordinarily potent for Democrats in 2026. Keep in mind, well being care was the problem that helped win again the Home in 2018 when Democrats ran adverts attacking GOP lawmakers for voting to repeal Obamacare, main dozens of Republicans to lose their seats. And now they’re hoping that historical past will repeat itself.
“Their entire agenda can be boiled down to this: billionaires win and families lose,” Senate Minority Chief Chuck Schumer wrote in a letter to Senate Democrats on June 1. “Billionaires win and families lose when Republicans kick millions of Americans off their health insurance by dismantling the ACA and proposing the largest cut to Medicaid in American history.”
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