One health policy professor said cutting Medicaid and similar programs "will be devastating" to millions of Americans.

Congress has signed off on a $3.4 trillion legislative package featuring new tax breaks, spending cuts, and more funding for defense and immigration enforcement, delivering President Donald Trump his “big, beautiful bill” despite rumblings from fiscal hawks about the projected $4 trillion it could add to the national debt over the next decade.

Whether the American public comes to see the “Big Beautiful Bill” as “beautiful” remains to be seen. A June 26 Quinnipiac poll found 29% of voters support the bill, 55% opposed it, and 16% did not have an opinion. What’s clear is that Democrats will hold the bill against Trump during the 2026 midterm election campaign season.