The Healthcare Costs of Trump’s Big Beautiful Bill

特朗普的大美法案的医疗费用负担

The Journal.

2025-07-10

20 分钟
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President Trump’s megabill cuts over $1 trillion in healthcare spending over the next decade, mainly from Medicaid. Experts project nearly 8.7 million fewer people covered by Medicaid, and hospitals face reduced payments and higher costs. WSJ’s Dominique Mosbergen reports on the bill’s historic cuts. Annie Minoff hosts.  Further Listening: - How Trump’s Megabill Squeaked Through the Senate  - Can the GOP Unite Around Trump's 'Big, Beautiful Bill'? Sign up for WSJ’s free What’s News newsletter.  Learn more about your ad choices. Visit megaphone.fm/adchoices
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  • Mr. President,

  • I come today to explain my vote yesterday for voting against the motion to proceed on this bill.

  • That's Republican Senator Tom Tillis speaking on the Senate floor last month.

  • He was explaining to his colleagues why he voted no on advancing President Trump's signature legislation,

  • his big, beautiful bill.

  • The problem, Tillis said, was the bill's extensive cuts to Medicaid.

  • So what do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid

  • because the funding's not fair?

  • Tillis wasn't alone in his concerns.

  • The bill's Medicaid provisions gave several key Republican senators pause.

  • But in the end, the president's bill passed by the narrowest of margins.

  • The bill is passed.

  • On July 4th, Trump signed it into law.

  • The final version slashes over $1 trillion in federal health care spending, mostly from Medicaid.

  • Now?

  • Patients and health care providers are puzzling through what those cuts could mean for them.

  • So the one big beautiful bill,

  • it represents the biggest cuts to federal health care spending and to Medicaid specifically in history.

  • That's our colleague, Dominique Mossbergen.

  • It's about one in five or about 70 million Americans are covered by Medicaid.