The Big Murderous Bill Is a Big Ugly Threat to Medicaid
Medicaid cuts: Over $1 trillion slashed, with 11.8 million people projected to lose coverage by 2034.
BREAKING: JD Vance just broke the tie. Trump’s “Big, Beautiful Bill” passes the Senate, 51–50. The bill now heads back to the House, where its fate is anything but certain. Senator Lisa Murkowski flipped her vote at the last minute, sealing the deal
If you've heard Republican leaders touting the so-called “Big Beautiful Bill,” you might think it’s a gift-wrapped miracle of fiscal responsibility and family values. But look past the bullshit, and you’ll see a legislative wrecking ball aimed squarely at America’s most vulnerable—our children, our elders, the disabled, and the caregivers who hold families together.
The Cuts Are Brutal. The Consequences Are Real.
The bill proposes over $1 trillion in cuts to Medicaid, the most extensive safety net program for low-income Americans. According to the Congressional Budget Office, this would result in 11.8 million people losing health care by 2034. That’s not “trimming fat”—that’s a mass eviction from life-saving coverage.
Who would lose?
Children: Medicaid covers 4 in 10 American kids. Many come from families barely getting by, and with new bureaucratic hurdles, millions could fall through the cracks.
Elderly Americans: Medicaid pays for 60% of nursing home care in the U.S. Slashing funding will force states to gut services or kick seniors out of long-term care.
People with disabilities: From wheelchairs to home aides, they rely on Medicaid for dignity and independence. This bill threatens to gut those services first.
Family caregivers: Those who stay home to care for loved ones may lose coverage unless they work at least 80 hours of paid work or attend school full-time per month.
Work Requirements?
Trump’s mass deportation of immigrants has led to severe worker shortages in agriculture, food, and entertainment, and other industries. There is a reluctance among workers here to take on subsistence or poverty-level jobs that often pay less than unemployment insurance and usually come with few or no benefits, including medical insurance.
Republicans pushing the bill have long romanticized the image of the stay-at-home parent, especially white mothers, raising wholesome families and upholding “traditional values.” But in practice? This legislation penalizes parents—especially mothers—who stay home to care for kids or aging relatives.
It’s a stunning hypocrisy: to celebrate unpaid domestic labor in speeches, then punish it in law.
Imposing work requirements for Medicaid is partly an attempt to force unemployed or part-time workers to take these low-paid, non-union jobs. This isn’t a new tactic, but it's proven ineffective and damaging.
Arkansas was the first to try it in 2018. Over 18,000 people lost coverage, many simply due to red tape and confusion, not because they weren’t working. Georgia’s plan was also a disaster.
The Bill will take these failed red-state experiments national, with even fewer exemptions and broader mandates. It effectively states: Only the employed deserve healthcare. That’s not moral. That’s racist and medieval.
We need universal health care.
If we’re serious about “pro-work” and “pro-family” policy, we should be expanding Medicaid and making it universal, not gutting it.
Health care shouldn’t be a luxury for the wealthy—it should be a human right.
The “Big Beautiful Bill” combines massive tax breaks for the wealthiest while battering the safety net for poor and working families. It’s a Trojan horse for MAGA agenda: Shrink the social safety net, punish the poor, and preserve privilege.
RESIST!!!
Good piece. I call it the 'Robin Hood in Reverse' Bill.