The Journal. The Healthcare Costs of Trump’s Big Beautiful Bill
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Jul 9, 2025 
Dominique Mosbergen, a WSJ reporter focused on healthcare finance, discusses Trump's megabill that cuts over $1 trillion in healthcare spending, primarily impacting Medicaid. She highlights the expected loss of coverage for 8.7 million people and the financial strain on hospitals, particularly in rural areas. The conversation also touches on Medicaid's historical context and its critical role as a safety net, while raising concerns about increasing uninsured rates and the future of healthcare access in the U.S.
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Senator Opposes Big Medicaid Cuts
- Senator Tom Tillis voted against Trump's Medicaid bill fearing millions would lose coverage.
- Despite opposition, the bill passed with historic cuts to Medicaid funding.
Historic Medicaid Cuts Impact Millions
- Trump's bill enacts the largest cuts in Medicaid's history, impacting 70 million people.
- Providers and advocates worry about far-reaching negative effects on healthcare access.
Medicaid’s Varied State Landscape
- Medicaid is a state-federal safety net program covering vulnerable Americans like low-income children and disabled adults.
- States run different Medicaid programs with varied rules and names, making it complex to navigate.