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medicaid
Pentagon and Immigration Spending in GOP Bill Could Instead Protect Medicaid Coverage
"Stealing money away from life-sustaining programs to fund war, weapons, and death should be an immediate nonstarter for every member of Congress," said one advocate and author of a new report.
May 23, 2025
With the House GOP's Medicaid-slashing reconciliation bill now headed to the Republican-controlled Senate, a trio of groups on Thursday highlighted that the tens of billions the reconciliation legislation allocates for the Pentagon and the Trump administration's immigration crackdown efforts could instead be used to protect and expand health insurance access for millions.
House Republicans' reconciliation bill includes $163 billion for the Pentagon and for mass deportation and border-related expenses that U.S. President Donald Trump has requested be allocated in fiscal year 2026. Those dollars could instead go toward providing 31 million adults with Medicaid, or providing 71 million people with Supplemental Nutrition Assistance Program (SNAP) benefits, according to a report titled Trading Life for Death: What the Reconciliation Bill Puts at Stake in Your State.
The report is a joint publication from the progressive watchdog Public Citizen, the progressive policy research organization the Institute for Policy Studies (IPS), and the National Priorities Project (NPP), which is a federal budget research organization and a project of IPS.
In a statement on Thursday, Lindsay Koshgarian, program director at NPP and one of the authors of the report, framed the reconciliation package as a "direct redistribution of resources from struggling Americans to the Pentagon and militarization."
The reconciliation bill, which passed 215-214 in the House of Representatives on Thursday, includes tax cuts tilted toward the wealthy that would add $3.8 trillion to the national debt, a roll back in clean energy tax credits, sweeping cuts to Medicaid and SNAP to the tune of nearly $1 trillion, and an increase in the maximum payment available through the child tax credit until 2028—though the bill is designed so that it would block an estimated 4.5 million children from accessing the credit, according to the Center for Migration Studies.
Under the legislation, an estimated 8.6 million people would lose Medicaid coverage over the next 10 years, according to a May 11 analysis from the nonpartisan Congressional Budget Office. The Center on Budget and Policy Priorities estimates that 11 million people would be at risk of losing at least some of their food assistance under the changes to SNAP.
Millions more could lose their healthcare due to Obamacare decisions/provisions.
Per the report, the militarized spending increases for 2026 would more than enough to fund Medicaid for the millions who are at risk of losing their health insurance under the bill, and the millions at risk of losing their SNAP benefits.
In addition to highlighting that the bill includes a huge cash injection for the U.S. Department of Defense, the report argues the Pentagon does not need more money. "The United States is already the world's largest military spender, allocating more taxpayer dollars to the Pentagon than the next nine countries combined," according to the report, which also notes that the department has never passed an audit.
The three groups also quantify the tradeoffs between defense spending and healthcare at a more granular level.
For example, the bill includes a $25 billion initial investment in Trump's "Golden Dome" project, a multilayered defense system that Trump has said will be capable of "intercepting missiles even if they are launched from other sides of the world and even if they are launched from space," according to CBS News.
In just one congressional district, Tennessee's 2nd District, taxpayer funds going toward the investment in the Golden Dome could instead be used to put 12,310 people on Medicaid, according to the report. In Texas' 21st District, taxpayers' funds redirected to support the Golden Dome could provide Medicaid to 13,589 people.
"If implemented, this budget would rip the rug out from under everyday Americans relying on Medicaid and SNAP to survive, just to further enrich Pentagon contractors," said Savannah Wooten, People Over Pentagon advocate at Public Citizen and report co-author, in a statement on Thursday. "Stealing money away from life-sustaining programs to fund war, weapons, and death should be an immediate nonstarter for every member of Congress."
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These Six Republicans Stand to Profit After Breaking Their Vow to Protect Medicaid
"Millions of Americans will see their healthcare, food, and education costs skyrocket, all so House Republicans can hand themselves and their wealthiest donors a huge tax break."
May 22, 2025
Just five weeks after pledging that they would not support the Republican Party's budget reconciliation package if it included cuts to Medicaid, six GOP lawmakers ultimately did just that on Thursday morning—and an analysis by government watchdog Accountable.US suggested they voted for the legislation to benefit themselves, despite the suffering it would cause for their constituents.
Along with cutting Medicaid for close to 14 million Americans and slashing nearly $300 billion in food assistance, the bill Republicans voted on in the early morning hours after weeks of deliberation included a tax policy proposal to expand a provision called Section 199A, which was previously introduced during the first Trump administration as part of the GOP's original law providing tax breaks for corporations and the wealthy.
The bill that passed in the House Thursday would raise the percentage of qualifying business income—such as rental income—people can deduct from their taxes from 20% to 23%. The provision is now set to expire at the end of the year.
If it's extended as written in the reconciliation bill, Accountable.US identified six Republican House members who could directly benefit from the expansion of the "pass-through deduction": Reps. Rob Bresnahan of Pennsylvania, Rob Wittman of Virginia, Jen Kiggans of Virginia, Young Kim of California, Juan Ciscomani of Arizona, and Jeff Van Drew of New Jersey.
Those six lawmakers were among the 12 who last month wrote to GOP leaders to say they represent "districts with high rates of constituents who depend on Medicaid" and to "reiterate our strong support for this program that ensures our constituents have reliable healthcare."
"We cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations," wrote the lawmakers last month. "Cuts to Medicaid also threaten the viability of hospitals, nursing homes, and safety-net providers, nationwide. Many hospitals—particularly in rural and underserved areas—rely heavily on Medicaid funding, with some receiving over half their revenue from the program alone."
"It is the peak of hypocrisy that the loudest and most vocal opponents of Medicaid cuts cowered in a matter of days in favor of a bill that will make the largest cuts to Medicaid in modern history—all to pay for lower taxes for the richest."
With the six Republican members poised to earn thousands more each year from the pass-through income deduction, those concerns appeared to have evaporated on Thursday.
"It is the peak of hypocrisy that the loudest and most vocal opponents of Medicaid cuts cowered in a matter of days in favor of a bill that will make the largest cuts to Medicaid in modern history—all to pay for lower taxes for the richest," said Tony Carrk, executive director of Accountable.US. "Even worse, those very members stand to financially gain from those tax cuts, while their own constituents lose their healthcare. Their votes aren't just a flip-flop; they are a betrayal to hardworking Americans everywhere who will be worse off because of this bill."
Accountable's Cash in Congress project found that for the 2023 tax filing year, the six members of Congress earned a combined $327,000 in pass-through income, according to financial disclosures.
Bresnahan stands to benefit the most from the extension of Section 199A, The American Prospectreported, as he earned at least $137,000 from rental properties. Out of the six lawmakers, he also represents the most Medicaid beneficiaries: 230,000.
Wittman reported $105,000 or more in pass-through rental income, and represents 125,000 people who receive Medicaid. Kiggans reported $50,000 and represents 130,000 people who use the healthcare program for low-income Americans.
All together, reported The American Prospect, the lawmakers represent 971,000 Medicaid beneficiaries who could be affected by a work requirement amendment that would go into effect at the end of 2026 and other provisions.
"Millions of Americans will see their healthcare, food, and education costs skyrocket, all so House Republicans can hand themselves and their wealthiest donors a huge tax break," said Accountable. "The only 'winners' in this bill are the billionaires that paid for it."
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The Tip Trick: How the Trump Budget Starves the Working Class
It takes programs that millions rely on—Medicaid, food assistance, student aid—and sacrifices them to fund tax breaks that primarily benefit those who already have the most. It’s a redistribution in reverse.
May 22, 2025
Imagine a woman in her late 20s, raising a young kid and working two jobs. On weekday mornings, she waits tables at a chain diner just off the highway. On weekends, she picks up banquet shifts at a hotel near the airport. Some weeks she hits 40 hours. Most weeks she doesn’t. Her schedule is built around whoever else calls off, whichever babysitter shows up, and how many tips she can pull in when customers don’t walk out on the check. She’s not lazy. She’s tired. She’s not failing. She’s just barely holding on.
She doesn’t ask for much—just enough to stay ahead of the next crisis. One sick day, one bounced check, one broken car door, and it all starts to unravel. Like nearly 60% of Americans, she’s living paycheck to paycheck. This isn’t some outlier story. It’s the American norm, life for millions of workers whose labor keeps the country running, even as their budgets can’t absorb a single emergency.
Last week, she saw a headline. The new House budget plan would eliminate federal income tax on tips. She read it twice. Finally, something for workers like her. Finally, a win.
This budget offers token relief while delivering sweeping cuts.
But what she didn’t see—what the headline didn’t say—is that while she might save a few hundred dollars come tax season, the same bill cuts the healthcare, food, and education programs that actually keep her afloat. It’s not a lifeline, it’s a tradeoff. And it’s a bad one.
Early Thursday morning, May 22, after days of internal negotiations and public brinkmanship, the House narrowly passed the “One Big Beautiful Bill,” a 1,100-page tax and spending package drafted with support from the Trump White House. Despite defections from within their own ranks, GOP leadership managed to push the bill through with no Democratic support and just enough Republican votes to avoid collapse. The measure now moves to the Senate, where further changes are likely, but the core architecture is intact.
The bill includes more than $3.8 trillion in tax cuts, most of which go to the wealthiest households and largest corporations. It makes permanent the 2017 Trump tax cuts, increases the estate tax exemption to $15 million per person, and expands loopholes for business income. According to the Institute on Taxation and Economic Policy, the top 1% of households would receive an average annual tax cut of approximately $79,000.
And the waitress? If she reports $10,000 in tips next year, she might see a refund boost of around $700. That’s her win. That’s what she gets.
But here’s what she could lose.
If her hours drop below 80 in a given month, and she can’t prove every one of them with pay stubs or employer forms, she could lose her Medicaid coverage. Under the latest version of the bill, these nationwide work requirements are no longer delayed until 2029. They’re scheduled to take effect as early as the end of next year. These requirements don’t just ask that you work. They ask that you document it, every month, without gaps. Miss a report, and your health insurance disappears. No phone call, no warning, just a closed file and an empty pharmacy counter.
If she misses work because her kid’s school is closed or a sitter falls through, she might lose Supplemental Nutrition Assistance Program (SNAP) benefits too, especially if she doesn’t fill out the right paperwork on time or fails to meet a new state threshold. The revised bill raises the age limit for mandatory work compliance and eliminates long-standing exemptions for parents. The moment her child turns seven, she’s treated like someone with no caregiving responsibilities at all. And for the first time in decades, states will be required to help fund those benefits. If they can’t, or choose not to, those benefits could disappear.
If she tries to go back to school to finish the associate’s degree she started, she may no longer qualify for a Pell Grant. The bill raises the minimum course load for a full award from 12 credits to 15, more than a full-time load at most colleges. For a working mother juggling jobs, that’s not just a higher bar, it’s a locked gate. She’d have to choose between working more hours to afford tuition or taking more classes she can’t pay for to receive aid. Either way, she loses.
And that’s the pattern. Across the board, this budget offers token relief while delivering sweeping cuts. It takes programs that millions rely on—Medicaid, food assistance, student aid—and sacrifices them to fund tax breaks that primarily benefit those who already have the most. It’s a redistribution in reverse. It shifts risk downward and wealth upward. It wraps itself in the language of freedom and choice, while quietly dismantling the systems that offer working people a shot at stability.
This isn’t a misunderstanding of how poverty works. It’s a bet that most people won’t notice until it’s too late. It counts on workers like her being too busy, too tired, or too stressed to read the fine print. It counts on the headlines focusing on the tip exemption, not the Medicaid paperwork that knocks her off coverage. Not the missed deadline that shuts off SNAP. Not the registration block that forces her to drop out of community college. It makes the punishment quiet and the payoff loud.
We know who this helps. And we know who it hurts.
As of late 2024, approximately 78.5 million Americans were enrolled in Medicaid or CHIP. In fiscal year 2023, 42.1 million participated in SNAP each month, and school meal programs served more than 4.6 billion lunches. The majority who rely on these services are children, seniors, and working families. By contrast, according to the Yale Budget Lab, fewer than 2.5% of U.S. households would benefit from the tip tax exemption, and only about 5% of low- and moderate-wage workers are employed in traditionally tipped occupations. And even among them, the average gain won’t cover a single unexpected car repair. The math doesn’t work. The logic doesn’t hold. But the politics do.
Because the waitress at the diner won’t get a press release when her SNAP balance goes to zero. She won’t get a spotlight when her kid’s lunch bill doubles or when she finds herself sitting in the ER without coverage. She’ll just keep showing up. Keep working. Keep holding the line with less and less help.
And that $700 refund?
It won’t pay for the inhaler when her daughter’s asthma flares up. It won’t buy a month of groceries when benefits are cut. It won’t fix the brake line on the car that barely starts. It won’t cover tuition when she’s one semester away from finishing a degree. It won’t save her when the safety net snaps under her feet.
No matter how “beautiful” they say the bill is, it won’t hold her life together when everything else is falling apart.
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