Back to today’s briefing

Story perspectives

Trump's Bill Threatens 12 Million with Medicaid Cuts

7/18/2025

35 2

Summary

Story summary

President Trump's "One Big Beautiful Bill" slashes over $1 trillion from Medicaid and the ACA, threatening to leave nearly 12 million Americans without insurance by 2034. With new work requirements and higher copayments, rural hospitals are at risk of closure, and while a $50 billion rural health fund exists, it may not be enough to prevent financial devastation.

History

Historical Context

The Affordable Care Act (ACA), enacted in 2010, significantly reduced the uninsured rate by providing coverage to approximately 20 million Americans. However, proposed cuts by President Trump threaten to eliminate coverage for nearly 12 million individuals by 2034, reflecting ongoing debates over healthcare reform. This shift could exacerbate health disparities, particularly in rural areas, and lead to increased hospital closures.

1 of 2

Story summary

President Trump's "One Big Beautiful Bill" slashes over $1 trillion from Medicaid and the ACA, threatening to leave nearly 12 million Americans without insurance by 2034. With new work requirements and higher copayments, rural hospitals are at risk of closure, and while a $50 billion rural health fund exists, it may not be enough to prevent financial devastation.

1 / 2