Senate Passes $4.5 Trillion Tax Cuts with $1 Trillion Medicaid Cuts, 12 Million to Lose Insurance

After a record-breaking vote-a-rama with the most amendment votes in Senate history, the Senate passed Trump’s “One Big Beautiful Bill” 51-50 with Vice President Vance casting the tie-breaking vote.

The Congressional Budget Office confirmed the bill cuts over $1 trillion from Medicaid (affecting 72 million people), imposes 80-hour monthly work requirements, and will cause 12 million people to lose health insurance. The bill includes $4.5 trillion in tax cuts over 10 years—primarily benefiting wealthy individuals and corporations—along with $170 billion for immigration enforcement and mass deportations, while slashing clean energy funding.

Senator Ron Wyden called it “the biggest Medicaid cut in history” and said it “represents the largest transfer of wealth in history”—taking from healthcare for poor and working Americans to fund tax cuts for the wealthy.

The legislation exemplifies the kleptocratic pattern of using government power to redistribute wealth upward while dismantling programs that protect vulnerable populations. The work requirements are designed to create bureaucratic barriers that cause people to lose coverage even when they’re working or legitimately exempt.