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ROUNDUP: Recent Polling Confirms Republican Plan To Decimate Health Care Is Wildly Unpopular

As Senate Republicans debate the GOP tax bill, recent polling confirms yet again that a majority of Americans strongly oppose their scheme to slash Medicaid and the Affordable Care Act to fund tax breaks for the wealthy. As a result, 16 million Americans will lose life-saving coverage, including seniors, kids, people with disabilities, and hardworking families. Medicaid, the largest health insurance program in the country, remains widely popular across the board, with voters in both parties opposing any cuts. This polling shows that Republicans will face consequences at the ballot box when Americans find out they’re slashing health care and ripping coverage from millions to cover tax breaks for billionaires and big corporations.

Hart Research for Families Over Billionaires, Center for America Progress Action, and Protect Our Care: Republicans’ Billionaire Tax Scam Toxically Unpopular with American Voters.

  • The major elements of the Republican budget bill – cuts to Medicaid, cuts to SNAP, and tax breaks for the wealthy – are extremely unpopular. 70% of voters expressed major concern over the bill raising families’ costs for groceries and health care through cuts to SNAP, Medicaid, and ACA tax credits. 70% of voters expressed major concern over the bill raising costs on 80 million poor and middle class households. 
  • Among voters who supported Donald Trump in 2024, but with reservations, only 46% support the bill.
  • Before hearing any messaging, only 38% of voters support Republicans’ budget bill. After voters hear a neutral, factual description of the main elements of the bill, as shown below, opposition jumps by 15 points, from 46% to 61% – including 65% opposition from swing voters.

Navigator: Following the Passage of House Republicans’ Budget Plan, Initial Reactions of Battleground Constituents Are Negative and Grow More Sour as They Learn More.

  • A majority of Americans living in House battleground districts say they oppose the budget plan (net -12; 40 percent support – 52 percent oppose), including independents by 17 points (33 percent support – 50 percent oppose). This comes as a whopping 79 percent of battleground constituents have heard at least some about the budget plan that Republicans in Congress have passed.
  • The most strongly opposed policies in the budget plan are the tax breaks for the wealthiest Americans and cuts to programs Americans depend on:
    • This budget bans Medicaid payments to health care providers that provide abortion services, even when the services they are providing are not abortion related (54 percent strongly oppose);
    • This budget gives the largest billionaire tax cut in history, paid for by making devastating cuts to Medicaid (52 percent strongly oppose);
    • This budget makes the largest cuts to Medicaid in U.S. history, which independent auditors estimate will cause 7.6 million Americans to lose their health insurance, including veterans, seniors, children, pregnant women, and people with disabilities (50 percent strongly oppose);
    • This budget raises health insurance costs by as much as $4,000 by ending tax credits for people and businesses who buy their health insurance on their own (50 percent strongly oppose); and,
    • This budget cuts more than $500 billion from Medicare (50 percent strongly oppose).

KFF: A Majority of the Public Worry About the Consequences of Proposed Medicaid Cuts. 

  • About seven in ten adults (72%) are worried that a significant reduction in federal funding for Medicaid would lead to an increase in the share of uninsured children and adults in the U.S. 
  • Seven in ten adults say they are worried that if the federal government significantly reduces its spending on Medicaid, there will be negative impacts on hospitals, nursing homes, and other health care providers in their communities (71%). 
  • Over half (54%) of U.S. adults are worried that reductions in federal Medicaid spending would negatively impact their own or their family’s ability to get and pay for health care

Blue Rose Research: Only a Quarter of Voters Think the Republican Tax Bill Will Help Them and Their Families.  

  • Just 25% of voters think the tax bill will help them and their families. 51% of voters (including 51% of swing voters) in critical battleground districts and states think Congress should be prioritizing lowering the cost of living and strengthening government programs like Medicaid. Just 38% of voters in these districts and states prefer the GOP’s focus on tax giveaways to the wealthiest Americans.

Data for Progress: Voters Do Not Support the GOP Reconciliation Bill’s Tax and Spending Proposals.

  • While the GOP reconciliation plan is likely to contain hundreds of billions of dollars in Medicaid cuts, only 10% of voters support these cuts. 

DISGUSTING: Dr. Oz Says “Prove You Matter” While Republicans Line Billionaires’ Pockets At The Expense of 16 Million Americans

Washington, D.C. – Today, Centers for Medicare and Medicaid Services Administrator Mehmet Oz said that people who rely on Medicaid for critical health care and life-saving coverage need to “prove that they matter.” Donald Trump and the Republicans’ tax bill will rip health care away from 16 million Americans in order to pay for tax breaks for billionaires and big corporations. The GOP plan will destroy our health care system and cause devastation to millions of Americans, including seniors, children, people with disabilities, cancer patients, small business owners, and more. Read more about the GOP tax scam here

In response, Protect Our Care President Brad Woodhouse issued the following statement:

“Dr. Oz’s demand that people who rely on Medicaid ‘prove they matter’ perfectly sums up the callousness of Trump and the Republicans’ plan to gut health care for 16 million Americans. Because nothing says compassion like demanding proof from already-struggling Americans while Donald Trump and the Republicans fund tax breaks for billionaires and big corporations. The GOP plan is a wrecking ball aimed at anyone who isn’t wealthy or well-connected. Apparently, the only people who matter to Dr. Oz and the GOP are the billionaires whose pockets they are trying to line at the expense of everyone else.”

Citizens Deliver Gravestones to Joni Ernst As Republicans Push Forward With Deadly Health Care Cuts 

Today, Joni Ernst Doubled Down Not Once, But Twice On Her “We’re All Going to Die” Statement As Americans Fight Back

View Getty Images Here.

Iowa Senator Joni Ernst has made it crystal clear: she has no regrets about her viral “Well, we’re all going to die” comment. Instead of walking back her cold, callous dismissal of constituents worried about the GOP’s Medicaid cuts, she doubled down twice today. Her response was a sarcastic mess where she mocked Iowans’ concerns from a graveyard. Today, health care advocates confronted Ernst and brought the graveyard to her as a reminder that real lives are at stake.

16 million Americans will lose critical health care coverage. Seniors, kids, people with cancer, people with disabilities – these are the people that Ernst and Republicans are leaving behind so they can fund another tax break for Donald Trump, Elon Musk, and the rest of their billionaire buddies. While Ernst cracks jokes, everyday Americans are wondering how they’ll be able to see a doctor or afford lifesaving prescriptions. Joni Ernst can keep pretending like what she said is funny and acceptable, but the rest of us know it is deadly serious. 

Here’s how Republicans will strip 16 million Americans of their health care and endanger lives in the process: 

BY THE NUMBERS: How 16 Million Will Lose Coverage From the GOP Tax Scam

Trump and Republicans want you to believe that they aren’t taking away your health care, but the numbers don’t lie. The nonpartisan Congressional Budget Office released new analysis confirming the GOP’s deeply unpopular plan will rip health care away from 16 million Americans in order to pay for tax breaks for billionaires and big corporations. 

Trump’s big, ugly bill cuts nearly a trillion from Medicaid and the Affordable Care Act (ACA).  Combined with taking away the ACA tax credits, the GOP plan will destroy our health care system and cause devastation to millions of Americans. This level of coverage loss hasn’t been seen since the 2017 ACA repeal effort, threatening the livelihood of millions, including seniors, children, people with disabilities, cancer patients, small business owners, and more. It’s a scam to give massive tax breaks to the ultra-wealthy and large corporations on the backs of hard-working families. It’s time for Republicans in the Senate to prove where they stand: with billionaires or with everyday Americans.

Here’s exactly how Republicans are sabotaging health care:

  • Rips health care away from 16 million Americans, including seniors, children, veterans, and people with disabilities, to pay for tax breaks for billionaires like Elon Musk and corporations such as Big Pharma.
  • Cuts over $1 trillion from Medicaid and the ACA to pay for handouts to the wealthiest Americans.
  • Hikes premiums for over 24 million Americans including rural Americans, small business owners, and middle-class families.
  • Guts over $150 billion in critical funding for hospitals, which will shutter facilities, causing more Americans to live in maternity care deserts, travel further to emergency rooms, and face longer wait times. 
  • Generates over $600 billion in funding for tax breaks for the rich by making it harder than ever for working families to get the health care they need.
  • Demands $8.2 billion in new health care payments from families who are already struggling.
  • Contains a $5 billion giveaway to drug companies that will drive up the cost of prescription drugs for seniors and taxpayers.

COVERAGE: Republican Tax Scam Cuts Over A Trillion From American Health Care, 16 Million Will Lose Coverage

Yesterday, the nonpartisan Congressional Budget Office (CBO) released updated analysis on Republicans’ tax bill and confirmed 16 million Americans will be kicked off their health care, including kids, people with disabilities, seniors, and working families. This bill slashes over $1 trillion in American health care – the largest health care cut in American history – in order to fund tax breaks for billionaires and big corporations. Despite their empty promises to protect health care or lower prices, Donald Trump and Republicans are going to force seniors out of nursing homes, shutter rural hospitals, cause health care costs to skyrocket, and rip life-saving coverage away from millions.

Bloomberg: Health Coverage for 16 Million Said at Risk With GOP Plan.

  • “The number of people in the US without health insurance is poised to increase by 16 million by 2034 under Republican plans for spending cuts, the Congressional Budget Office estimated… The reconciliation bill alone—which the GOP plans to pass using a budget mechanism without needing Democrats’ support—would lead to around 11 million more people without insurance. CBO estimates that proposed Medicaid work requirements for adults aged 19 to 64 without dependents would increase the number of uninsured by 4.8 million by 2034.”

ABC News: “The CBO Projects Overall a Total of 16 Million People Could Potentially Go Uninsured Over the Next Decade.”

  • “The bill narrowly passed the House in May, but now some GOP members are signaling regret on their stamp of approval… The president has lashed out at GOP senators who are threatening to complicate its path forward, including Kentucky Sen. Rand Paul. Paul, who is specifically taking issue with the deficit, told ABC News following Trump’s attacks that he’s been “consistent” about his view from the start. Sen. Ron Johnson, a Wisconsin Republican who sits on the Senate Finance Committee, has been critical of the bill the House passed to the Senate because it adds to the deficit.”
  • “‘The more you look at the bill, the worse it gets,’ [Senator Chuck] Schumer said. He slammed the impact the changes to Medicaid are projected to have on people’s health insurance as well as on rural hospitals and nursing homes. ‘People will fall through the cracks and get phased out of coverage in the coming years. Death by 1,000 paper cuts. That’s the intention of the Republican bill,’ he said.”

Modern Healthcare: “The Combined Effects of Those Policies and the One Big Beautiful Bill Act Would Result in 16 Million More Uninsured People.”

  • “The Republican tax-and-spending-cuts legislation speeding through Congress would take more than $1 trillion out of the healthcare system over a decade, according to an analysis the Congressional Budget Office published Wednesday… Medicaid would be subject to the lion’s share of the cuts and see its federal budget diminish by $864 billion. The work requirement provisions alone would reduce spending by $344 billion… The CBO projects that the Medicaid cuts and other policies would lead to 10.9 million people becoming uninsured, including 7.8 million who would lose Medicaid benefits.”

Stat News: “16 Million People Could Become Uninsured Over a Decade.”

  • “Overall, the bill increases the federal deficit by $2.4 trillion over a decade, thanks to its extension of Trump’s tax cuts and the enactment of new ones. Extending lower tax rates alone costs $2.2 trillion over a decade, for example. The bill includes cuts to federal spending on health coverage of more than $1 trillion.”
  • “About 7.8 million people would lose Medicaid coverage, while much of the rest of the losses would stem from the Affordable Care Act’s exchanges. Among those losing coverage would be 1.4 million immigrants and others who don’t have, or can’t prove, a legal status that would give them access to insurance… The CBO report doesn’t account for another looming change to health care: enhanced premium tax credits that help people buy ACA coverage are set to expire at the end of the year. The bill does not renew them. The Trump administration has separately estimated that 4.4 million would lose coverage without the tax credits.”

Washington Examiner: “This Would Be the Biggest Rollback in Federal Support for Health Care Ever.”

  • “Democrats and a handful of Republicans have pushed back on the bill’s healthcare provisions, particularly the institution of work requirements for certain Medicaid recipients. Changes to Medicaid and Obamacare in the Energy and Commerce Committee portion of the bill would result in 9.1 million uninsured people, while the Ways and Means provisions would result in 2.3 million newly uninsured people by 2034. The overlap between the programs reduces the uninsured rate by half a million, for a grand total of 10.9 million uninsured people by 2034.”

Splinter: Trump and the GOP’s ‘Big, Beautiful Bill’ Fails Its Final CBO Score.

  • “Digging into the human costs reveals how it is even more heinous, as the CBO says it would increase the uninsured population by 10.9 million people over the next ten years. Republicans are lying about how this will throw people off Medicaid by saying that undocumented immigrants are receiving benefits when we know that is not true. This bill is an explicit attempt to take Medicaid away from people in order to partially pay for tax cuts for billionaires that will still blow out the deficit and raise borrowing costs for everyone. In true Republican fashion, many of these empty suits are now lamenting their vote in favor of this calamitous bill they clearly did not read.”
  • “The Yale School of Public Health sent a letter to Democrats warning that this bill could kill 51,000 Americans each year… 15 million people would lose health care coverage because of this GOP bill, and there is enough evidence before you get to Republican Senator Joni Ernst’s gleeful reaction to people dying to suggest that Republicans are happy to accept killing tens of thousands of people in order to give tax cuts to the wealthiest people in America. This is their agenda.”

Economic Policy Institute: “[Republicans] Chose to Slash Programs Helping Some of the Most Vulnerable Families.”

  • “This direct transfer of income from vulnerable families to the richest can be summarized in a striking symmetry: If the bill becomes law, the annual cuts to Medicaid would average over $70 billion in coming years—the same amount millionaires and billionaires would gain in tax cuts each year.”
  • “These health care spending cuts would lead directly to millions of people losing health insurance… the Center on Budget and Policy Priorities estimated coverage losses of at least 15 million… a disproportionate share of the House bill’s Medicaid cuts would almost surely fall exactly on these weaker local economies. We estimate that roughly 27 million workers are in these weaker local economies, and that Medicaid cuts could depress local spending enough to force the loss of 850,000 jobs.”

Nasdaq: “Health Insurance Coverage for Millions of Americans Hangs in the Balance.”

  • “Under the deal passed by the U.S. House of Representatives last month, policy analysts are estimating between 10.9 million and 15 million people would lose access to their health insurance plans over the course of the budget window, which extends to 2034… Several million more are also expected to lose their health insurance coverage through changes to the Affordable Care Act, aka Obamacare, combined with sunsetting provisions that the GOP megabill does not extend.”

The Hill: “House Republicans Rushed to Vote on This Bill Without an Accounting From CBO on the Millions of People Who Will Lose Their Health Care.”

  • “Nearly 11 million people would lose health insurance under the House Republican tax bill, mostly due to cuts to Medicaid and the Affordable Care Act (ACA), according to the nonpartisan Congressional Budget Office (CBO). The CBO’s latest report estimates that 10.9 million people would be uninsured over the next decade if the spending package, which includes much of President Trump’s legislative agenda, were enacted.”
  • “Republicans are likely to downplay the significance of the analysis… Some GOP senators have expressed concerns about some of the Medicaid provisions and say they won’t support the bill without changes.”

CBS News: “Federal Spending on Medicaid and the Affordable Care Act Would Be Reduced by $902 Billion Over a Decade.”

  • “House Republicans are aiming to cut at least $1.5 trillion in spending to offset trillions in tax cuts, while also raising the debt ceiling by $4 trillion. The CBO projection puts the spending cuts at about $1.2 trillion over the next decade, with the tax cuts totaling just under $3.7 trillion. The national debt currently stands at roughly $36 trillion, according to the Treasury Department…  Though Republicans vowed to protect Medicaid benefits and have framed cuts to the program as trimming ‘waste, fraud and abuse,’ the analysis found that the portion of the bill dealing with Medicaid would mean 7.8 million fewer people being enrolled in the safety net program.”

The Wall Street Journal: “Most People, Republicans and Democrats Alike, Want Medicaid Funding to Stay the Same or Increase.”

  • “The 10.9 million figure is an increase from an earlier CBO estimate Republicans released last month. That earlier number pegged the newly uninsured at 7.6 million. The GOP plan thins the rolls by adding more eligibility checks and work requirements for Medicaid recipients. It also makes it more difficult to sign up for Affordable Care Act plans… Cutting Medicaid is unpopular. A March KFF poll found that most people, Republicans and Democrats alike, want Medicaid funding to stay the same or increase”

STATEMENT: New CBO Analysis Confirms What We Knew – The GOP Tax Scam Is A Health Care Bloodbath and Millions Will Suffer

Washington D.C. – The nonpartisan Congressional Budget Office just released new analysis confirming that Trump and Republicans’ big, ugly bill will, combined with taking away the ACA tax credits, rip health care away from 16 million Americans, including kids, people with disabilities, seniors, and working families. Between the largest Medicaid cuts in history and decimating the Affordable Care Act, health care costs will skyrocket, and millions will lose life-saving care, all so Trump and the Republicans can give massive tax breaks to the wealthiest people and big corporations. 

“The CBO has confirmed what we knew all along – this bill is horrendous for the American people and Donald Trump and Republicans are lying about it,” said Protect Our Care Chair Leslie Dach. “Now there is no doubt left about the destruction and devastation Republicans are causing to our health care system by making the largest health care cuts in history. Not only will hardworking families lose their coverage, but rural hospitals will shut down, seniors will be forced to leave their nursing homes, and people fighting cancer or addiction will lose access to lifesaving treatment. But Republicans are more concerned with lining the pockets of billionaires than protecting American health care. Now it’s on Senate Republicans to stand up for their constituents, not billionaires, and oppose this bill.”

BY THE NUMBERS

  • Rips health care away from 16 million Americans, including seniors, children, veterans, and people with disabilities, to pay for tax breaks for billionaires like Elon Musk and corporations such as Big Pharma.
  • Guts over $150 billion in critical funding for hospitals, which will shutter facilities, causing more Americans to live in maternity care deserts, travel further to emergency rooms, and face longer wait times. 
  • Generates over $600 billion in funding for tax breaks for the rich by making it harder than ever for working families to get the health care they need.
  • Demands $8.2 billion in new health care payments from families who are already struggling.
  • Contains a $5 billion giveaway to drug companies that will drive up the cost of prescription drugs for seniors and taxpayers.

NEW POLL: Republicans’ Billionaire Tax Scam Toxically Unpopular with American People 

Key defensive arguments by Congressional Republicans, including work requirements, are also unpopular.

Washington, D.C. – As Republicans push forward with their Billionaire Tax Scam in the Senate, Families Over Billionaires, in partnership with Center for American Progress Action Fund and Protect Our Care, released a new poll conducted by Hart Research showing overwhelming public opposition to Republicans’ harmful legislation to slash Medicaid and food assistance to pay for billionaire tax breaks. 

This poll confirms what we already knew about Republicans’ budget bill – at a time when Americans are concerned about the cost of living, this legislation is wildly unpopular, and is only getting more unpopular the more people hear about it. 

The poll was conducted nationally from May 27-28. Full poll memo from Hart Research can be found here.

See below for key findings:

The Republican budget bill is unpopular, with opposition growing even more intense as voters learn more about it.

  • Before hearing any messaging, only 38% of voters support Republicans’ budget bill.
  • After voters hear a neutral, factual description of the main elements of the bill, opposition jumps by 15 points, from 46% to 61% – including 65% opposition from swing voters:

The Republican budget bill, which recently passed the U.S. House of Representatives with the backing of Donald Trump, would do the following:
(1) Cut Medicaid and food stamps
(2) Eliminate tax incentives for clean energy projects
(3) 
Increase border security
(4) Permanently extend all tax cuts in the 2017 Trump tax law, including those for the wealthy
(5) Temporarily eliminate taxes on tips and overtime

The bill is even underwater with many Trump voters.

  • Among voters who supported Donald Trump in 2024, but with reservations, only 46% support the bill.

The major elements of the Republican budget bill – cuts to Medicaid, cuts to SNAP, and tax breaks for the wealthy – are extremely unpopular.

  • Voters strongly oppose the main parts of the Republican budget bill: cuts to Medicaid (70%), cuts to SNAP (69%), and tax breaks for the wealthy (68%).

Republicans’ spin falls flat with the public.

  • Only 38% of voters say they have a favorable view of the bill “establishing work requirements for Medicaid,” while 50% say that it is unfavorable.
  • 58% of voters reject Republicans’ framing that their bill will deliver “tax cuts for everyone.”

The American people are especially concerned that the bill will cause the cost of groceries, health care, interest rates and utility bills to skyrocket.

  • 70% of voters expressed major concern over the bill raising families’ costs for groceries and health care through cuts to SNAP, Medicaid, and ACA tax credits. 
  • 70% of voters expressed major concern over the bill raising costs on 80 million poor and middle class households.

HEADLINES: GOP Bill Guts The Affordable Care Act 

Republicans Are Targeting the ACA in Their Quest to Hand Out Tax Breaks to Billionaires and Big Corporations 

The Republican spending bill not only makes the largest cuts to Medicaid in history, it dismantles the Affordable Care Act (ACA) as we know it. By raising costs for millions, making it harder to enroll, and chipping away at the ACA’s core provisions, Republicans are raising premiums and out-of-pocket costs for tens of millions of people who buy coverage on their own. In total, the GOP tax scam will throw 14 million people off their coverage, including seniors, children, middle- and low-income families, people with disabilities, people fighting cancer, and so many more. Headlines confirm that this coverage loss is nearing levels not seen since the 2017 ACA repeal effort, but Republicans are trying to go unnoticed in their relentless war on health care. 

MSNBC: It’s Not Just Medicaid: Republicans’ Megabill Would Sabotage the Affordable Care Act

  • “Larry Levitt, executive vice president for health policy at KFF, describing the real-world effects of the GOP megabill, added, “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…” Perhaps most importantly, the Republican plan would end the expanded ACA tax credit subsidies that made coverage far more affordable for consumers throughout the Biden era — a move that would, according to Congressional Budget Office estimates, leave roughly 5 million Americans uninsured.”

The Washington Post: Republicans Are Trying to Repeal Obamacare Again. Sort Of.

  • “Congressional Republicans are pursuing changes to the Affordable Care Act that would mean 10.7 million fewer Americans using its insurance marketplaces and Medicaid, a huge reduction that some view as a way to accomplish part of the health-care coverage cancellation that failed in 2017.”

Axios: How the GOP Megabill May Roll Back the Affordable Care Act

  • “The bill that passed the House before Memorial Day includes an overhaul of ACA marketplaces that would result in coverage losses for millions of Americans and savings to help cover the cost of extending President Trump’s tax cuts. It comes after a growth spurt that saw ACA marketplace enrollment reach new highs, with more than 24 million people enrolling for 2025, according to KFF. The House’s changes would likely reverse that trend, unless the Senate goes in a different direction when it picks up the bill next week.”

STAT: ACA Reforms in the GOP’s Tax Bill Were Little-Noticed. That Might Change

  • “As Republicans backed off Medicaid cuts, though, they turned to ACA marketplace policies to look for spending cuts. The nonpartisan and policy research firm KFF says the number of people with marketplace plans could shrink by about 8 million — about what’s expected in Medicaid coverage losses… The expiration of enhanced premium subsidies could further reduce enrollment via ACA marketplace plans by 4.4 million, according to Trump administration estimates.”

Rolling Stone: Trump’s Tax Bill Would Decimate the Affordable Care Act

  • “Republicans plan to allow for the expiration of subsidies that help people afford individual health insurance plans, a move that would lead to a steep rise in prices for Americans who purchase coverage through the ACA marketplace. The version of the reconciliation bill passed Thursday by the House of Representatives would also prohibit passive reenrollment for ACA plan users who receive financial assistance, increase penalties for incorrect reporting of income, place further restrictions on enrollment periods, and create new bureaucratic hurdles to obtaining premium tax credits in ways that experts say will cause many to forgo or lose coverage.”

CNBC: House Republican Tax Bill Skipped ACA credits — Marketplace Health Insurance Will Get Pricier Without Them

  • “But the “One Big Beautiful Bill Act” is missing something health care advocates hoped to see: an extension of the insurance premium tax credits under the enhanced Affordable Care Act that are set to expire at the end of the year. The credits’ absence is notable as the bill includes other proposed changes to the ACA marketplace, experts say… “Pretty much everyone, almost everybody who’s buying their own health insurance, now would see their costs go up,” Cox said.”

STAT: Projected Number of Uninsured From GOP’s Bill is Nearing Levels Not Seen Since ACA Repeal Effort

  • The funding cuts and the failure to extend ACA-related credits, taken together, would mean that at least 13.7 million stand to lose coverage in the coming decade under Republicans’ health care agenda, according to KFF, which based its calculation on preliminary projections by the nonpartisan Congressional Budget Office. Those coverage loss projections are expected to be higher once the official score of the legislation is ready, the CBO said, and ACA reforms in the separate Ways and Means Committee’s reconciliation bill are also expected to lead to higher numbers of uninsured. If nearly 14 million people lost coverage over the coming decade, that could push the number of uninsured in the U.S. close to pre-ACA levels, according to Larry Levitt, KFF executive vice president for health policy.”

“Wealth Over Workers”: Senator Ron Wyden, Former Medicaid Director Join Protect Our Care to Urge The Senate to Reject the GOP Tax Scam and Protect Health Care for the American People

Watch the Full Event Here.

Washington, D.C. — Today, U.S. Senate Finance Committee Ranking Member Ron Wyden (D-OR) and former Medicaid Director Daniel Tsai joined Protect Our Care for a press conference calling on Republicans in the Senate to put people over politics and reject the House spending bill. The bill includes the largest Medicaid cuts in history, guts key provisions of the Affordable Care Act (ACA), and eliminates premium tax credits. 

As the largest health care provider in the country, Medicaid provides health care to more than 70 million Americans. According to analysis by the nonpartisan Congressional Budget Office, between the drastic cuts to Medicaid and the harmful ACA marketplace cuts in this bill, more than 13 million Americans will lose health care coverage and millions more will see their health care costs soar. Not only will hardworking families lose access to care, rural hospitals will shut down, seniors will be forced to leave their nursing homes, and people fighting cancer or addiction will lose lifesaving care.

“This bill can be called caviar over kids and wealth over workers,” said Senate Finance Committee Ranking Member Ron Wyden. “The reality is the House bill has hurt written all over it. Rural health care providers say this legislation will hit them like a wrecking ball. Seniors are going to face a greater risk of abuse and neglect in nursing homes, and Americans with disabilities will lose a lifeline of care at home. This is bureaucratic water torture that’s going to cause untold suffering as millions lose their health insurance and millions more struggle to navigate through a maze of red tape. Senate Republicans need to know that cutting health care is a death sentence for their constituents.” 

“As someone that has run Medicaid program at the federal level, at the state level, and now at the local level, I want to be clear: saying this bill does not cut Medicaid or won’t hurt our most vulnerable is not just misleading, it’s factually wrong,” said former Medicaid Director Daniel Tsai. “Everything in this bill will lead to millions of people losing their health care coverage, and will fundamentally destabilize and threaten hospitals, clinics, and providers. This is a master class in finding ways to disguise cuts to programs with very technical provisions.” 

“Late last week, Senator Joni Ernst said the quiet part out loud and admitted that Republicans would rather line the pockets of the ultra-wealthy than protect the health care that millions of families depend on,” said Protect Our Care Chair Leslie Dach. “By putting our health care on the chopping block, Republicans are turning their backs on the American people. Their agenda is clear: raise costs on hardworking families and rip coverage away from millions. Now Senate Republicans must make the choice – side with Joni Ernst and billionaires or stand up for the health care of millions of everyday Americans. The stakes couldn’t be higher.”

Trump’s War on Health Care: Public Health Watch

Welcome to Public Health Watch, a weekly roundup from Protect Our Care tracking catastrophic activity as part of Donald Trump’s sweeping war on health care. From installing anti-vaccine zealot RFK Jr. as Secretary of HHS to empowering Elon Musk to make indiscriminate cuts to our public health infrastructure, including the National Institutes of Health and the Centers for Disease Control, Donald Trump is endangering the lives of millions of Americans. Protect Our Care’s Public Health Watch will shine a spotlight on the worst of the Trump/RFK/Musk war on vaccines, science and public health and serve as a resource for the press, public and advocacy groups to hold them accountable.  

What’s Happening In Public Health?

Catastrophic Cuts Are Creating Chaos And Endangering Americans’ Health And Scientific Innovation

Stat: HHS cancels nearly $600 million Moderna contract on vaccines for flu pandemics The Department of Health and Human Services has notified Moderna that it is canceling contracts worth $766 million with the company to develop, test, and license vaccines for flu subtypes that could trigger future pandemics, including the dangerous H5N1 bird flu virus. Though the possibility of the cancellation had been anticipated — the new leadership at HHS told the company in February that it was reviewing the two contracts, signed with the Biden administration — the move is being seen as a significant blow to the country’s capacity to respond to pandemic influenza. No other flu vaccine production approach can produce doses with the speed of the messenger RNA platform used by Moderna and other companies that work with mRNA. But the vaccine platform is viewed with deep suspicion by health secretary Robert F. Kennedy Jr. and his political base. Moderna had conducted a Phase 1/2 clinical trial of its H5N1 vaccine, and was optimistic about the results it was seeing, the company said in a statement.

ProPublica: Trump Pledged to “Make America Healthy Again,” Then Cut a Program Many Tribes Rely on for Healthy Food As he has promoted the Trump administration’s “Make America Healthy Again” agenda, Robert F. Kennedy Jr., the U.S. Health and Human Services secretary, has lamented the toll that processed foods have taken on the health of Americans, in particular Native Americans. Prepackaged foods have “mass poisoned” tribal communities, he said last month when he met with tribal leaders and visited a Native American health clinic in Arizona. Weeks later, in testimony before the House Appropriations Committee, he said processed foods had resulted in a “genocide” among Native Americans, who disproportionately live in places where there are few or no grocery stores. “One of my big priorities will be getting good food — high-quality food, traditional foods — onto the reservation because processed foods for American Indians is poison,” Kennedy told the committee. Healthy food is key to combating the high rates of chronic disease in tribal communities, he said. Yet even as the president tasks Kennedy’s agency and the U.S. Department of Agriculture with improving healthy eating programs, the USDA has terminated the very program that dozens of tribal food banks say has helped them provide fresh, locally produced food that is important to their traditions and cultures. That program — the USDA’s Local Food Purchase Assistance Cooperative Agreement program — began under President Joe Biden in late 2021 as a response to challenges accessing food that were magnified by the pandemic. Its goal was to boost purchases from local farmers and ranchers, and the funding went to hundreds of food banks across the country, including 90 focused on serving tribes. In March, the Trump administration decided the program did not align with its priorities. Agriculture Secretary Brooke Rollins defended the cut of a half-billion dollars by calling the program a remnant of the COVID era.

Stat: New HHS document details deep NIH cuts as part of Trump budget request The Department of Health and Human Services on Friday released a summary of President Trump’s budget request for the 2026 fiscal year that provides the most detailed look yet at how his administration hopes to reshape the National Institutes of Health and other federal agencies. The “budget in brief” document doubles down on a previous request to slash NIH’s discretionary budget to $27.5 billion, an $18 billion or nearly 40% reduction. It also details plans to consolidate the agency’s 27 institutes and centers into just eight. But while those plans were disclosed in previous documents that were leaked or shared publicly by the administration, Friday’s budget summary spells out more clearly precisely where these cuts would come from — and just how deep they will be.  The president’s proposal would leave just three of the NIH’s current institutes intact: the National Cancer Institute, National Institute of Allergy and Infectious Diseases, and the National Institute of Aging. But that doesn’t mean these institutes would be spared. If enacted, Trump’s request would slash the budgets of NCI from $7.2 billion to $4.5 billion, NIAID from around $6.6 billion to $4.2 billion, and NIA from $4.4 billion to $2.7 billion. 

CBS: Trump administration ending multiple HIV vaccine studies, scientists and officials say The Trump administration has moved to end funding for a broad swath of HIV vaccine research, saying current approaches are enough to counter the virus, multiple scientists and federal health officials say. Notifications that the funding would not be extended were relayed Friday to researchers, who were told by National Institutes of Health officials that the Department of Health and Human Services had elected “to go with currently available approaches to eliminate HIV” instead. The cuts will shutter two major HIV vaccine research efforts that were first funded by the NIH in 2012 at the Duke Human Vaccine Institute and the Scripps Research Institute, multiple scientists said. A spokesperson for Moderna said the vaccine manufacturer’s clinical trials through the NIH’s HIV Vaccine Trials Network have also been put on pause.  One senior NIH official said the HHS had also instructed the agency not to issue any more funding in the next fiscal year for HIV vaccine research, with only a small handful of exceptions.  A budgetary rule change specifically targeted at HIV vaccine research is also expected to lead to another cut to the NIH’s awards for studies initiated by scientists, an official said.

Local Impacts:

The FDA Is Being Dismantled – Stalling Drug Development And Leaving Us Vulnerable To Food-Borne Illness

Stat: Lawmaker wants to know how FDA can police drug ads after cutting its oversight workforce Amid ongoing controversy over pharmaceutical advertising, one lawmaker wants to know how the U.S. government will enforce regulations after the Food and Drug Administration let go numerous employees from the office that oversees prescription drug promotions. In a May 27 letter to FDA Commissioner Marty Makary, Sen. Dick Durbin (D-Ill.) noted that four key leaders of the Office of Prescription Drug Promotion recently departed the agency, and the entire Division of Promotion Policy, Research, and Operations — a unit within the office that developed guidance on pharmaceutical advertising — also was reportedly laid off.

NBC: FDA chief says pregnant women should decide on Covid vaccine with doctors The Food and Drug Administration commissioner, Dr. Marty Makary, said Wednesday that the decision of whether a pregnant woman should get a Covid vaccine should come down to a conversation with her doctor — not a recommendation by the federal government. Makary took part in Health and Human Services Secretary Robert F. Kennedy Jr.’s announcement Tuesday revoking the Centers for Disease Control and Prevention’s recommendation that Covid shots should be offered to pregnant women and healthy children. “The data on the Covid vaccine booster in pregnant women is a mixed set of data,” Makary said in an interview. “Now, I think the decision should be between a doctor and a pregnant woman, but the idea that the government has to tell you what to do in this in an area where there is mixed data.” That assertion — that the data is mixed — isn’t supported by evidence, vaccine experts say.

RFK Jr. Is An Extreme MAGA Anti-Vaxxer Who’s Breaking His “Assurances” To Key Republicans To Get Confirmed And Mis-Managing HHS

NOTUS: The MAHA Report Cites Studies That Don’t Exist Health Secretary Robert F. Kennedy Jr. says his “Make America Healthy Again” Commission report harnesses “gold-standard” science, citing more than 500 studies and other sources to back up its claims. Those citations, though, are rife with errors, from broken links to misstated conclusions. Seven of the cited sources don’t appear to exist at all. Epidemiologist Katherine Keyes is listed in the MAHA report as the first author of a study on anxiety in adolescents. When NOTUS reached out to her this week, she was surprised to hear of the citation. She does study mental health and substance use, she said. But she didn’t write the paper listed. “The paper cited is not a real paper that I or my colleagues were involved with,” Keyes told NOTUS via email. “We’ve certainly done research on this topic, but did not publish a paper in JAMA Pediatrics on this topic with that co-author group, or with that title.”

  • NOTUS: The MAHA Report Has Been Updated With Fresh Errors The Trump administration’s clean up of the “Make America Healthy Again” Commission’s hallmark and error-riddled report is opening new questions about how the report’s authors drew some of its sweeping conclusions about the state of Americans’ health. At least 18 of the original report’s citations have been edited or completely swapped out for new references since NOTUS first revealed the errors Thursday morning. While some of the original report’s inconsistencies have been changed, a few of the new updated citations continue to misinterpret scientific studies. One study NOTUS identified as misinterpreted in the original report was intended to support the claim that psychotherapy is more effective for children than medication for treating mental health concerns. That study was swapped out with a new “systematic overview” authored by psychologist Pim Cuijpers, who told NOTUS via email that MAHA’s new citation is also wrong. Cuijpers said his referenced study doesn’t cover psychiatric medications in children at all — the research was focused on adults. The citation is located in a section of the MAHA report titled, “American children are highly medicated – and it’s not working.”
  • NOTUS: The MAHA Report Cites a Paper Criticized as ‘Junk Science’ on Pesticides One of the papers cited in the “Make America Healthy Again” Commission’s report was rejected by a judge as “junk science,” NOTUS found. In a review of the MAHA report’s coverage of crop protection and dietary guidelines, NOTUS found citations that misinterpreted findings and misattributed information, including crediting an outside paper to the United States Department of Agriculture and Secretary of Health and Human Services Robert F. Kennedy Jr.’s own department. Although the MAHA report was updated after NOTUS first reported inconsistencies on Thursday, these issues remain. HHS did not respond to a request for comment on this story.

Axios: RFK Jr.’s on-the-fly health policy strategy Robert F. Kennedy Jr.’s tenure as the nation’s top health official is becoming increasingly known for abrupt policy pronouncements based on limited or sketchy evidence that perplex health care providers, industries and patients. Why it matters: While Kennedy has branded himself as a change agent bringing “radical transparency” to a bloated federal bureaucracy and promoting “gold standard” science, the results have at times been chaotic, even exposing rifts between President Trump’s circle and Kennedy’s own base.

Politico: RFK Jr. threatens to bar government scientists from publishing in leading medical journals HHS Secretary Robert F. Kennedy Jr. threatened to stop government scientists from publishing their work in major medical journals on a podcast Tuesday as part of his escalating war on institutions he says are influenced by pharmaceutical companies. Speaking on the “Ultimate Human” podcast, Kennedy said the New England Journal of Medicine, the Journal of the American Medical Association and The Lancet, three of the most influential medical journals in the world, were “corrupt” and publish studies funded and approved by pharmaceutical companies. “Unless those journals change dramatically, we are going to stop NIH scientists from publishing in them and we’re going to create our own journals in-house,” he said, referring to the National Institutes of Health, an HHS agency that is the world’s largest funder of health research.

  • The Guardian: Exclusive: US veterans agency orders scientists not to publish in journals without clearance  Senior officials at the US Department of Veterans Affairs have ordered that VA physicians and scientists not publish in medical journals or speak with the public without first seeking clearance from political appointees of Donald Trump, the Guardian has learned. The edict, laid down in emails on Friday by Curt Cashour, the VA’s assistant secretary for public and intergovernmental affairs, and John Bartrum, a senior adviser to VA secretary Doug Collins, came hours after the prestigious New England Journal of Medicine published a perspective co-authored by two pulmonologists who work for the VA in Texas. The article warned that cancelled contracts, layoffs and a planned staff reduction of 80,000 employees in the nation’s largest integrated healthcare system jeopardizes the health of a million veterans seeking help for conditions linked to toxic exposure – ranging from Vietnam veterans exposed to Agent Orange to veterans of Iraq and Afghanistan who developed cancer after being exposed to smoke from piles of flaming toxic waste.

Washington Post: Contradicting RFK Jr., CDC keeps recommending covid vaccine for kids Coronavirus vaccines are still recommended for healthy children if their doctors approve, according to updated immunization schedules published late Thursday by the Centers for Disease Control and Prevention, contradicting Health and Human Services Secretary Robert F. Kennedy Jr.’s announcement earlier this week. The revisions, which also say the vaccines are no longer advised during pregnancy, add to the confusion surrounding the Trump administration’s move to bypass the traditional system for immunization advice through expert review and CDC guidance. The CDC did not remove the coronavirus vaccines from the childhood schedule, as Kennedy said it would, when it updated its website late Thursday. Instead, the agency recommends the shots based on “shared clinical decision-making,” meaning children can get vaccinated if their parents and doctors agree.

New York Times: Canada Wants to Kill 400 Ostriches. Kennedy and Dr. Oz Want to Save Them. What do the U.S. health secretary, Robert F. Kennedy Jr., the celebrity physician Mehmet Oz and some Canadian animal lovers have in common? They all want to save a flock of 400 ostriches on a British Columbia farm. But there’s a catch. The birds were in contact with a deadly virus: H5N1, a type of avian flu. Canada ordered the birds to be culled after the avian virus spread through Universal Ostrich Farms in Edgewood, British Columbia, a town in the province’s interior, north of Washington State. The plight of the wobble — a term sometimes used to describe a group of ostriches — has divided Canadians, but the birds have won allies across the border, namely top officials in the Trump administration. Mr. Kennedy last week urged the Canadian authorities not to kill the ostriches but to do further testing to try to better understand the virus. “We believe significant scientific knowledge may be garnered from following the ostriches in a controlled environment,” Mr. Kennedy said in a letter to the head of the Canadian Food Inspection Agency, which ordered the culling. Dr. Oz, who oversees Medicare and Medicaid for the Trump administration, offered to relocate the doomed birds to his 900-acre ranch in Florida. John Catsimatidis, a billionaire Republican businessman who owns a New York City radio station, made a plea to save the birds on his radio program, demanding “truth, justice and the American way for the ostriches up in British Columbia.” But most veterinarians agree that keeping birds alive that may still have active infections and could spread the virus to others is a threat to public health.

NOTUS: RFK Jr.’s Child Trafficking Claims Upend the Office of Refugee Resettlement Health and Human Services Secretary Robert F. Kennedy Jr. is workshopping a new theory: The HHS Office of Refugee Resettlement sanctioned child trafficking during the Biden administration, and he has a mandate to stop it and track down the missing migrant children. “During the Biden administration, HHS became a collaborator in child trafficking and for sex and for slavery,” Kennedy said during a cabinet meeting this month. “We have ended that and we’re very aggressively going out and trying to find these children — 300,000 children that were lost by the Biden administration.” But former HHS employees and conspiracy theory experts told NOTUS they believe Kennedy’s theory is being used as an excuse for HHS and the Department of Homeland Security to arrest and deport the often undocumented people who volunteered to take care of children who immigrated to the U.S. without their parents — with dire consequences for the unaccompanied minors themselves.

Disastrous, Dangerous Appointments

Vanity Fair: The Dizzying Rise of MAHA Warrior Calley Means, RFK Jr.’s Right-Hand Man Given Means’s dizzying rise from relative obscurity to the summit of America’s federal health apparatus, his hyperconfidence may well be justified. That climb has been propelled by the personal story he has shared often: that he was a food and pharmaceutical lobbyist who saw firsthand the collusion of both industries with medical groups and academia. And yet, a six-month Vanity Fair investigation raises questions about whether Means has embellished his personal story. Nine of Means’s former PR colleagues dispute some of his key biographical assertions. As well, his health care company, Truemed, which helps patients use tax-free dollars to buy wellness products, is poised to benefit from the radical health care overhaul he has been championing. VF interviewed more than 60 people for this account, and reviewed 24 of Means’s public appearances since 2023, his social media accounts, and related federal and state legislation, tax, lobbying, and business records.

GOP State Policymakers Are Following RFK Jr.’s Lead Attacking Vaccines And Proven Public Health Measures

Associated Press: Amid measles outbreak, Texas is poised to make vaccine exemptions for kids easier Texas this year has been the center of the nation’s largest measles outbreak in more than two decades, as a mostly eradicated disease has sickened more than 700 in the state, sent dozens to hospitals and led to the death of two children who were unvaccinated. But even as the outbreak slows, a bill approved by state lawmakers and sent to Republican Gov. Greg Abbott would make it significantly easier for parents to enroll their children in school without standard vaccinations for diseases such as measles, whooping cough, polio and hepatitis A and B.

Stat: 25 million cavities and $9.8 billion: Study estimates the costs of removing fluoride from water Even before Robert F. Kennedy Jr. took office as health secretary, he promised to take action on water fluoridation. He would provide “good information” to municipalities, which regulate the water supply, and “fluoride will disappear,” he said in November.  In just over a couple of months, some places have made this a reality. Utah and Florida have both banned the addition of fluoride in water, with advocates of the laws like Kennedy arguing that adding the mineral to water poses a risk to children’s developing brains.  A new study tried to predict the consequences if the rest of the nation were to follow suit. In five years, the researchers estimated, 7.5% more U.S. children ages 0-19 would get cavities, affecting 25.4 million additional teeth and costing the country around $9.8 billion. While these findings are worrisome, several experts said, they were unsure if the new data would move the needle on a debate that has become so heated and politicized.

Public Health Threats

Associated Press: Deep cuts erode the foundations of US public health system, end progress, threaten worse to come Americans are losing a vast array of people and programs dedicated to keeping them healthy. Gone are specialists who were confronting a measles outbreak in Ohio, workers who drove a van to schools in North Carolina to offer vaccinations and a program that provided free tests to sick people in Tennessee. State and local health departments responsible for invisible but critical work such as inspecting restaurants, monitoring wastewater for new and harmful germs, responding to outbreaks before they get too big — and a host of other tasks to protect both individuals and communities — are being hollowed out.

NBC: A new Covid variant could drive up summer cases: Here’s what you should know A new Covid variant that’s gaining momentum globally has landed in the U.S. The World Health Organization announced last week that it was monitoring the variant, NB.1.8.1, following a rise in cases in several parts of the world, including Europe, Southeast Asia and North and South America. The variant appears to be more transmissible than the dominant strain worldwide, LP.8.1, meaning it has the potential to drive up cases this summer.

The Hill: US, Argentina launching new ‘alternative’ to WHO The top health authorities of the U.S. and Argentina are launching what they call an “alternative international health system” separate from the World Health Organization (WHO). On the first day of his second term, President Trump signed an executive order starting the yearlong process of withdrawing the U.S. from the WHO. In February, Argentinian President Javier Milei followed suit. In a joint statement Tuesday, Health and Human Services Secretary Robert F. Kennedy Jr. and Argentine Minister of Health Mario Lugones remarked on the decision to withdraw from the global health authority. “The WHO’s handling of the COVID-19 pandemic revealed serious structural and operational shortcomings that undermined global trust and highlighted the urgent need for independent, science-based leadership in global health,” their statement read.