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10 million Americans will go uninsured due to Trump tax and spend law, CBO estimates

hellenicshippingnews.com -- Sunday, August 17, 2025, 5:20:25 PM Eastern Daylight Time
Categories: Democratic Party Responses, Tax Policy & Reform

Ten million more Americans will be uninsured in the next decade due to changes in President Donald Trump's tax and spend law, according to an estimate by the Congressional Budget Office.

The nonpartisan CBO analysis comes after the legislation became law in July and is an update from a previous analysis that estimated almost 11 million Americans would be uninsured from previous versions of the legislation.

The tax and spending law was passed with only Republican votes, as Democrats said the bill was a giveaway to the rich at the expense of low-income Americans. To pay for extending tax cuts passed under Trump's first term and some new temporary tax cuts and other spending, the law has enacted some restrictions and requirements to access the low-income health insurance program, Medicaid.

The CBO also estimated that income will decrease for the poorest Americans by $1,200 per year due to the law's tax and benefit changes, but increase for middle-income households from $800 to $1,200, as well as by more than $13,000 for the wealthiest Americans.

"The changes in resources will not be evenly distributed among households. The agency estimates that, in general, resources will decrease for households toward the bottom of the income distribution, whereas resources will increase for households in the middle and toward the top of the income distribution," the report said.

Source: Reuters

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Opinion:

The recent Congressional Budget Office (CBO) report revealing that approximately 10 million Americans are projected to go uninsured due to the tax and spending law championed by former President Donald Trump serves as a stark reminder of the ongoing struggle for equitable healthcare access in the United States. This legislation, passed exclusively with Republican votes, epitomizes a long-standing pattern where fiscal policy disproportionately favors the wealthy at the expense of the most vulnerable in society. The implications of the CBO's findings extend beyond mere statistics; they highlight a systemic issue of prioritizing tax cuts for the affluent while neglecting the basic health needs of millions.

Historically, healthcare access in the United States has been fraught with inequities, often reflecting broader societal injustices. The Affordable Care Act (ACA), enacted in 2010, was a significant, albeit imperfect, attempt to rectify these disparities by expanding Medicaid and providing subsidies to help low-income individuals obtain insurance. However, the ongoing political struggle against such reforms has shown how quickly gains can be eroded. The Trump tax law seeks to roll back these protections by imposing restrictions on Medicaid, a program that millions rely on for essential healthcare services. This trend symbolizes a regression in the progress made towards healthcare equity, underscoring the need for a reevaluation of our national priorities.

The CBO's analysis further paints a disheartening picture of wealth distribution under the new law, predicting an income decrease of $1,200 per year for the poorest households, while middle-income families will see marginal gains, and the wealthiest Americans will benefit by more than $13,000. Such a redistribution of wealth, where those at the bottom of the economic ladder end up paying the price for tax cuts targeted at the rich, raises critical questions about the moral fabric of our economic system. The conversation around healthcare cannot be divorced from the broader context of wealth inequality; it is inherently tied to the way our society values human life and dignity. When the government prioritizes tax cuts for the wealthy over access to healthcare for all, it sends a clear message about whose lives matter most.

Moreover, this situation speaks to the historical context of healthcare as a right versus a privilege. Countries with universal healthcare systems, such as Canada and many in Europe, often boast better health outcomes and lower overall costs, demonstrating that access to healthcare should not be contingent upon one’s financial status. The recent legislative changes in the U.S. further entrench the belief that healthcare is a commodity rather than a fundamental human right. This philosophical divide continues to fuel social movements advocating for Medicare for All and other universal health initiatives, which aim to ensure that every individual has access to the medical care they need without the burden of financial strain.

As we move forward, it is crucial for advocates of social justice and equity to engage in dialogues that challenge the narratives perpetuated by those who benefit from these policies. The CBO's report can serve as a compelling tool in discussions with individuals who may not recognize the implications of such legislation. Emphasizing that healthcare is not merely an economic issue but a moral one can help galvanize support for reforms that prioritize human well-being over profit. The ongoing struggle for equitable healthcare is not just a political battle; it is a reflection of our collective values as a society. The fight for access to healthcare, free from the restraints of income inequality, must be at the forefront of our efforts to dismantle systemic injustices and build a more equitable future for all.

Action:

The recent analysis by the Congressional Budget Office (CBO) sheds light on the troubling implications of the tax and spending law enacted under the Trump administration. According to their estimates, a staggering 10 million Americans are projected to go uninsured over the next decade as a result of this legislation. This stark statistic underscores a broader trend that has been emerging in the U.S. healthcare system — one that further exacerbates the disparities between the wealthiest citizens and those living in poverty. The CBO's findings reveal not only the direct impact of policy decisions but also the underlying motivations that drive these legislative choices.

Historically, the U.S. healthcare system has been marked by significant inequalities. The Affordable Care Act (ACA), passed in 2010, was a major legislative effort aimed at addressing these disparities, yet it was never fully embraced by all political factions. Although it expanded access to insurance for millions of low-income Americans, it was met with fierce opposition, particularly from conservative lawmakers who viewed it as an overreach of government. The recent tax law, which passed without any bipartisan support, appears to be a step backward, dismantling some of the progress made toward universal coverage. The CBO’s findings affirm what many have long suspected: that efforts to provide a safety net for the most vulnerable populations are increasingly under threat.

Moreover, the economic ramifications of this legislation cannot be overlooked. The CBO estimates a reduction of $1,200 per year in income for the poorest Americans as a result of changes to tax and benefit programs. In stark contrast, middle-income households are set to see increases ranging from $800 to $1,200, while the wealthiest Americans stand to gain over $13,000. This redistribution of wealth clearly favors those at the top of the economic ladder, reinforcing the notion that the tax system is being manipulated to benefit the affluent, while the most vulnerable are left to bear the brunt of these policy decisions. This trend raises critical questions about the equity of our economic and healthcare systems and challenges us to rethink our priorities as a society.

So, what can we, as engaged citizens, do in response to these developments? First and foremost, we must mobilize to advocate for comprehensive healthcare reform that prioritizes the needs of low-income Americans. Grassroots organizing can play a pivotal role in amplifying voices that are often marginalized in political discourse. Engaging with local representatives, participating in town halls, and forming coalitions with like-minded organizations can help create a powerful force for change. Additionally, raising public awareness about the implications of these tax policies can encourage broader discussions about equity, healthcare access, and the moral responsibility of our government to serve all citizens, not just the wealthy.

Furthermore, it is vital that we hold lawmakers accountable for their decisions. As we approach future elections, we must prioritize candidates who demonstrate a commitment to equitable policies and healthcare solutions. By supporting candidates who advocate for universal healthcare, increased funding for Medicaid, and the expansion of social safety nets, we can work to shift the political landscape towards one that values the well-being of all Americans. Engaging in voter registration drives and educating fellow citizens about the impact of these policies can empower individuals to make informed decisions at the ballot box.

In conclusion, the CBO's report serves as a clarion call for action. As we witness the consequences of policies that prioritize tax breaks for the wealthy at the expense of the most vulnerable, it is essential that we remain vigilant and proactive. By advocating for healthcare reform, holding our elected officials accountable, and fostering community engagement, we can work towards a more just and equitable society. The fight for universal healthcare is not merely a political issue; it is a moral imperative that requires our collective action and unwavering commitment.

To Do:

The recent Congressional Budget Office (CBO) report highlighting that an estimated 10 million Americans will become uninsured due to the implications of the Trump tax and spend law should galvanize us into action. This is a pressing issue that directly impacts the health and wellbeing of millions of citizens. Here are some concrete steps we can take to address this situation:

### Personal Actions to Take:

1. **Educate Yourself and Others**: - Stay informed about the implications of the tax law and how it affects healthcare access. Share this knowledge in your community, through social media, or organizing local discussion groups.

2. **Engage with Local Advocacy Groups**: - Join or support local organizations that advocate for healthcare access, such as the National Nurses United (contact: info@nationalnursesunited.org) or Families USA (contact: info@familiesusa.org).

3. **Petition for Change**: - Create or sign petitions that call for healthcare reform. Websites like Change.org allow individuals to start petitions that can gather widespread support.

4. **Contact Your Representatives**: - Write to your elected officials to express your concerns about healthcare access and the negative impacts of the tax law. Here are examples of who to reach out to, along with their contact information:

**Senators**: - **Chuck Schumer (D-NY)** - Email: schumer.senate.gov/contact/email-chuck - Mailing Address: 780 Third Avenue, 23rd Floor, New York, NY 10017

- **Elizabeth Warren (D-MA)** - Email: warren.senate.gov/contact/email-elizabeth - Mailing Address: 2400 JFK Federal Building, 15 New Sudbury Street, Boston, MA 02203

**House of Representatives**: - **Nancy Pelosi (D-CA)** - Email: pelosi.house.gov/contact - Mailing Address: 1236 Longworth House Office Building, Washington, DC 20515

- **Alexandria Ocasio-Cortez (D-NY)** - Email: aoc.gov/contact - Mailing Address: 1236 Longworth House Office Building, Washington, DC 20515

5. **Attend Town Halls**: - Participate in town hall meetings or community forums held by your representatives. Bring questions and express your concerns about healthcare access and the impact of the tax law.

6. **Organize a Local Fundraiser**: - Host a community event to raise funds for local healthcare initiatives or organizations that assist uninsured individuals. Consider partnering with local businesses to sponsor the event.

7. **Social Media Campaigns**: - Use platforms like Twitter, Facebook, and Instagram to raise awareness about the issue. Create and share informative posts, graphics, or videos that highlight the effects of the tax law on healthcare.

### What to Say:

When contacting your representatives or engaging in discussions, consider using the following points:

- **Express Personal Stories**: Share personal experiences or anecdotes related to healthcare access. Personal stories can be powerful in conveying the urgency of the issue.

- **Highlight the CBO Findings**: Reference the CBO report and its findings regarding the increase in uninsured Americans and the disproportionate impact on low-income households.

- **Call for Specific Actions**: Request your representatives to support healthcare legislation aimed at expanding coverage, such as the Medicare for All Act or other measures that promote universal healthcare.

- **Demand Accountability**: Urge them to hold accountable those who support legislation that benefits the wealthy at the expense of vulnerable populations.

By taking these actions, we can collectively push back against policies that threaten access to essential healthcare for millions of Americans. It is crucial that we remain vocal and active in advocating for a fairer and more equitable healthcare system.


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