{"id":1672,"date":"2025-06-13T00:59:06","date_gmt":"2025-06-13T00:59:06","guid":{"rendered":"https:\/\/tmbglobal.news\/index.php\/2025\/06\/13\/take-your-tips-leave-your-healthcare\/"},"modified":"2025-06-13T00:59:15","modified_gmt":"2025-06-13T00:59:15","slug":"take-your-tips-leave-your-healthcare","status":"publish","type":"post","link":"https:\/\/tmbglobal.news\/index.php\/2025\/06\/13\/take-your-tips-leave-your-healthcare\/","title":{"rendered":"Take your tips, leave your healthcare"},"content":{"rendered":"<p><\/p>\n<div>\n<p>Most people have heard the legend of the <a href=\"https:\/\/www.historytoday.com\/archive\/history-matters\/was-trojan-horse-real\">Trojan horse<\/a>: The fabled tale in which <a href=\"https:\/\/www.greekmythology.com\/Myths\/Heroes\/Odysseus\/odysseus.html\">Odysseus<\/a> and the <a href=\"https:\/\/www.bbc.co.uk\/bitesize\/articles\/zxytpv4\">Greeks<\/a> presented a wooden horse to their enemies \u2014 the Trojans \u2014 as a gift. The Trojans, confident of their victory, accepted the horse, not realizing there were Greek soldiers hidden inside ready to burn Troy to the ground. In the end, it\u2019s easy to dismiss the Trojans as too foolish to spot the obvious catch in this implausible gesture. For most of us, it\u2019s hard to imagine a world where a similar story could ever come true.\u00a0<\/p>\n<p>That is <a href=\"https:\/\/www.whitehouse.gov\/articles\/2025\/04\/icymi-president-trumps-largest-tax-cut-in-history\/\">until<\/a> late April when President Donald Trump\u2019s administration presented a gift to the American people that would make even Odysseus blush. Calling <a href=\"https:\/\/waysandmeans.house.gov\/wp-content\/uploads\/2025\/05\/The-One-Big-Beautiful-Bill-Section-by-Section.pdf\">it<\/a> \u201cOne, Big, Beautiful Bill,\u201d the act <a href=\"https:\/\/www.whitehouse.gov\/articles\/2025\/05\/icymi-trumps-one-big-beautiful-bill-promises-up-to-11600-wage-boost-new-jobs\/\">claims<\/a> to be a collection of Trump\u2019s <a href=\"https:\/\/doggett.house.gov\/issues\/trumps-economic-promises-timeline\">economic promises<\/a> made on the campaign trail. It <a href=\"https:\/\/apnews.com\/article\/big-beautiful-bill-trump-tax-cuts-medicaid-00ce1ff8a7b7fea7a894d38398748c6b\">includes<\/a> pledges to <a href=\"https:\/\/www.cato.org\/blog\/deportations-add-almost-1-trillion-costs-gops-big-beautiful-bill\">boost border security<\/a>, eliminate the <a href=\"https:\/\/www.nytimes.com\/interactive\/2025\/06\/04\/upshot\/no-tax-on-tips.html\">tax on tips<\/a> or social security checks and give <a href=\"https:\/\/abcnews.go.com\/Politics\/taxes-trumps-big-beautiful-bill-repeal\/story?id=122459896\">tax breaks<\/a> to businesses in hopes of strengthening the economy. To pay for these provisions, the bill proposes a number of cuts ranging from <a href=\"https:\/\/www.vox.com\/health\/414045\/big-beautiful-bill-congress-trump-medicaid-cuts\">Medicaid<\/a> to <a href=\"https:\/\/www.newsweek.com\/trump-big-beautiful-bill-change-snap-benefits-2076327\">the Supplemental Nutrition Assistance Program<\/a> funding. The bill has faced <a href=\"https:\/\/www.wpr.org\/news\/ron-johnson-gop-opposition-big-beautiful-bill-wisconsin\">bipartisan opposition<\/a>, even sparking the official end to the <a href=\"https:\/\/www.npr.org\/2025\/06\/05\/nx-s1-5424686\/donald-trump-elon-musk-bromance-breakup\">bromance<\/a> between President Trump and Elon Musk in a dramatic Twitter <a href=\"https:\/\/www.cnn.com\/business\/timeline-elon-musk-trump-x-dg\">feud<\/a>.\u00a0<\/p>\n<p>Despite these flaws, the bill narrowly<a href=\"https:\/\/www.npr.org\/2025\/05\/21\/nx-s1-5406392\/trump-republicans-tax-bill-reconciliation-medicaid\"> passed<\/a> the House of Representatives 215-214. Now, as it makes its way to the<a href=\"https:\/\/thehill.com\/homenews\/senate\/5326610-democrats-challenge-trump-tax-cuts\/\"> Senate<\/a>, Americans are pleading with our lawmakers to prevent the passage of this bill. Even so, it maintains a<a href=\"https:\/\/today.yougov.com\/politics\/articles\/52223-federal-budget-immigration-donald-trump-businesses-may-16-19-2025-economist-yougov-poll\"> 76%<\/a> approval rating among Republicans. A new oversight of Trojan proportions is taking place among the right. And yet, as the bill wheels itself through the legislative gates toward the White House, Republican lawmakers still have time to act before some of our most fundamental social programs are sacked and burned.\u00a0<\/p>\n<p>As of now, Medicaid is front and center in Trump\u2019s crosshairs. Established by the<a href=\"https:\/\/www.archives.gov\/milestone-documents\/medicare-and-medicaid-act\"> Medicare and Medicaid Act<\/a> in 1965 and passed with<a href=\"https:\/\/www.ssa.gov\/policy\/docs\/statcomps\/supplement\/2015\/medicaid.html#:~:text=This%20program%2C%20known%20as%20Medicaid,assistance%20to%20eligible%20needy%20persons.\"> bipartisan support<\/a>, former President Lyndon B. Johnson spearheaded the program to<a href=\"https:\/\/www.cbpp.org\/research\/policy-basics-introduction-to-medicaid\"> provide<\/a> health insurance to low-income people and those with disabilities. The passage of the<a href=\"https:\/\/www.hhs.gov\/healthcare\/about-the-aca\/index.html\"> Affordable Care Act<\/a> in 2010 gave states the option to<a href=\"https:\/\/www.cbpp.org\/research\/health\/medicaid-expansion-frequently-asked-questions-0\"> expand<\/a> their Medicaid coverage further with federal funds. Since then,<a href=\"https:\/\/www.kff.org\/status-of-state-medicaid-expansion-decisions\/\"> 41 states<\/a> have expanded their Medicaid programs. Medicaid now covers 72 million Americans, or about a<a href=\"https:\/\/www.medicaid.gov\/resources-for-states\/downloads\/eligib-oper-and-enrol-snap-october2024.pdf\"> fifth<\/a> of our population. Interestingly enough, of the seven states with 25% or more of their population on Medicaid,<a href=\"https:\/\/www.newsweek.com\/maga-medicaid-which-states-have-highest-beneficiaries-2033077\"> four<\/a> voted for Trump in the 2024 election.\u00a0<\/p>\n<aside class=\"scaip scaip-1    \">\n\t\t<\/aside>\n<p>Now, Trump\u2019s budget bill heads to the<a href=\"https:\/\/apnews.com\/article\/trump-big-bill-senate-gop-debt-a0679756c6af762ac0291be6cb647145\"> Senate<\/a>, and <a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/putting-880-billion-in-potential-federal-medicaid-cuts-in-context-of-state-budgets-and-coverage\/\">includes<\/a> upwards of $800 billion in Medicaid cuts. Recently, the Congressional Budget Office<a href=\"https:\/\/apnews.com\/article\/cbo-deficits-tax-cuts-trumps-big-beautiful-bill-64d7de49aef62ba07b7f6f45c1ca73d1\"> projected<\/a> that these cuts would leave 10.9 million uninsured. The red states with the largest shares of Medicaid recipients are put at risk by these cuts, but many individual red<a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/congressional-district-interactive-map-medicaid-enrollment-by-eligibility-group\/\"> districts<\/a> throughout the country rely heavily on Medicaid as well \u2014 including Speaker Mike Johnson\u2019s district, where <a href=\"https:\/\/www.nytimes.com\/interactive\/2025\/02\/27\/us\/politics\/medicaid-enrollment.html\">33% of residents<\/a> are enrolled in the program.\u00a0<\/p>\n<p>Simply put, by voting in support of Trump\u2019s tax bill, GOP legislators are placing<a href=\"https:\/\/www.medicaid.gov\/medicaid\/program-information\/medicaid-and-chip-enrollment-data\/report-highlights\"> their own constituents<\/a> in harm\u2019s way. Factor in the added cuts to the SNAP program, which threaten to put millions more at<a href=\"https:\/\/www.pbs.org\/newshour\/show\/provision-in-gop-budget-bill-puts-millions-at-risk-of-losing-snap-benefits\"> risk<\/a> of food insecurity (including<a href=\"https:\/\/www.nbcnews.com\/politics\/congress\/house-republicans-medicaid-snap-budget-test-rcna192954\"> many<\/a> in conservative districts), and the GOP\u2019s plan of attack becomes clear: Lure America with the promise of<a href=\"https:\/\/www.whitehouse.gov\/articles\/2025\/06\/mythbuster-one-big-beautiful-bill-cuts-spending-and-more-cuts-are-on-the-way\/\"> savings and fiscal security<\/a>, and release the cuts to food and healthcare later.\u00a0<\/p>\n<p>There is a sad tinge of irony in the way conservatives plan to implement their<a href=\"https:\/\/www.thecentersquare.com\/national\/article_5ee2ac19-b284-4549-8e10-e5cd88174977.html\"> restructuring<\/a> of Medicaid. In their most recent crusade against the program, conservatives have<a href=\"https:\/\/www.cnn.com\/2025\/05\/31\/politics\/medicaid-cuts-work-requirements-gop-bill\"> called<\/a> for work requirements. Republicans<a href=\"https:\/\/www.nbcnews.com\/politics\/congress\/mike-johnson-medicaid-recipients-will-choose-whether-lose-healthcare-rcna210207\"> argue<\/a> that requiring people to find jobs will prevent them from accepting government handouts without finding real work. However, when the GOP-led Georgia legislature<a href=\"https:\/\/www.pshpgeorgia.com\/members\/georgia-pathways-program.html\"> passed<\/a> its own work requirements in 2023, they<a href=\"https:\/\/www.healthcaredive.com\/news\/georgia-pathways-medicaid-work-extension-public-health\/749955\/#:~:text=Dive%20Brief:,cause%20any%20increase%20in%20employment.\"> didn\u2019t lead<\/a> to higher levels of employment. Instead, they proved<a href=\"https:\/\/www.cbpp.org\/blog\/georgias-medicaid-experiment-is-the-latest-to-show-work-requirements-restrict-health-care#:~:text=Previous%20work%20requirement%20proposals%20conditioned,number%20of%20qualifying%20activity%20hours.\"> difficult to enforce<\/a> and led to<a href=\"https:\/\/gbpi.org\/public-has-until-june-1-to-comment-on-georgias-medicaid-work-requirements-as-coverage-barriers-persist\/\"> greater inefficiency and spending<\/a>, the very evils the current administration<a href=\"https:\/\/www.whitehouse.gov\/presidential-actions\/2025\/01\/establishing-and-implementing-the-presidents-department-of-government-efficiency\/\"> vowed<\/a> to bring to an end.<\/p>\n<p>Conservatives\u2019 pledges for responsible spending feel disingenuous at best given the documented<a href=\"https:\/\/www.rwjf.org\/en\/insights\/our-research\/2025\/04\/work-requirements-threaten-health-and-increase-costs.html\"> cost<\/a> of work requirements, and the CBO\u2019s projection that the bill could raise the debt by more than <a href=\"https:\/\/www.nytimes.com\/2025\/06\/04\/us\/politics\/trump-policy-bill-deficit-estimate.html\">$2.4 trillion<\/a>, makes conservatives\u2019 pledges for responsible spending feel disingenuous at best. With over<a href=\"https:\/\/www.thenation.com\/article\/politics\/trump-tax-bill-deficit-oligarchy-cronyism-greed\/\"> $600 billion<\/a> in tax cuts for the 1%, the <a href=\"https:\/\/www.foxnews.com\/elections\/2024\/general-results\/voter-analysis\">50% of working-class<\/a> Americans who voted for Trump ought to see this bill for what it really is: A concerted effort by the politicians they elected to<a href=\"https:\/\/www.theatlantic.com\/ideas\/archive\/2025\/05\/big-beautiful-transfer-of-wealth\/682885\/\"> transfer<\/a> wealth back into the hands of a privileged few. If this bill passes, just in the next year alone, the one percent\u2019s per capita income is<a href=\"https:\/\/budgetmodel.wharton.upenn.edu\/estimates\/2025\/5\/16\/distributional-effects-of-house-budget-reconciliation-as-of-thursday-may-15\"> expected<\/a> to increase by $400,000 while working wages will decrease by $1,000. There is nothing beautiful about this.<\/p>\n<p>Instead of blindly accepting what Trump and his legislators have offered, Americans should open their eyes and ask themselves what they value more \u2014 tax cuts for the wealthy, or basic access to food and healthcare. The Trump administration has come bearing gifts. Now, it\u2019s up to us to ask whether we\u2019ll rely on a little ancient wisdom or welcome the conquerors in through the front door.\u00a0<\/p>\n<aside class=\"scaip scaip-2    \">\n\t\t<\/aside>\n<p><em>Gunnar Hartman is an Opinion Columnist studying public policy and economics. His column, \u201cCash and Constitutions,\u201d focuses on the rise of authoritarianism and the role of money in politics. He can be reached at hartmang@umich.edu.<\/em><em>\u00a0<\/em><\/p>\n<aside>\n\t\t<\/aside>\n<p><h3 class=\"jp-relatedposts-headline\"><em>Related articles<\/em><\/h3>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Most people have heard the legend of the Trojan horse: The fabled tale in which Odysseus and the Greeks presented a wooden horse to their enemies \u2014 the Trojans \u2014 as a gift. The Trojans, confident of their victory, accepted the horse, not realizing there were Greek soldiers hidden inside ready to burn Troy to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1673,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[1879,1878,1517],"class_list":["post-1672","post","type-post","status-publish","format-standard","has-post-thumbnail","category-news","tag-healthcare","tag-leave","tag-tips"],"_links":{"self":[{"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/posts\/1672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/comments?post=1672"}],"version-history":[{"count":1,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/posts\/1672\/revisions"}],"predecessor-version":[{"id":1674,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/posts\/1672\/revisions\/1674"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/media\/1673"}],"wp:attachment":[{"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/media?parent=1672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/categories?post=1672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tmbglobal.news\/index.php\/wp-json\/wp\/v2\/tags?post=1672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}