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"Americans will pay a steep price if Republicans move forward with this disastrous agenda," said Sen. Ron Wyden.
The House Republican Study Committee on Tuesday released a blueprint for a new budget reconciliation package with the purported goal of making "life more affordable for working families."
However, according to an analysis by Washington Post economic policy reporter Jacob Bogage, two of the three most expensive items in the GOP budget blueprint would be the elimination of the federal estate tax, which would provide a massive windfall to the richest US households, and indexing capital gains to inflation, which even the conservative American Enterprise Institute contends "would further distort taxpayer decisions and increase the ability to shelter income from taxation."
Other items in the GOP blueprint include refilling the Strategic Petroleum Reserve with oil seized from Venezuela, blocking federal funds for abortion providers, and a new "excise tax on colleges that allow trans women in sports."
Sen. Ron Wyden (D-Ore.), ranking member of the Senate Finance Committee, wasted no time ripping the proposal from the largest right-wing House caucus to pieces.
"After passing the largest health care cut in American history, Republicans are doubling down on a failed agenda that benefits billionaires and giant corporations while ripping away food, healthcare and other basic necessities,” Wyden said. “This legislation will eliminate protections for Americans with preexisting conditions, place more red tape between families and their healthcare, and seize ideological trophies instead of focusing on making life more affordable. Americans will pay a steep price if Republicans move forward with this disastrous agenda.”
Richard Phillips, pensions and tax policy director for Sen. Bernie Sanders (I-Vt.), marveled at the GOP loading up a bill supposedly focused on working families with massive giveaways to the wealthiest Americans.
"As part of it's new affordability agenda for the American people the Republican Study Committee reveals its plan to give the wealthiest 0.2% of estates a $281 billion tax break?" he wrote in a post on X.
Chuck Marr, vice president of federal tax policy at the Center on Budget and Policy Priorities, similarly called the GOP blueprint "tone deaf."
"Nothing says attack the affordability crisis working-class people face than Rs calling for eliminating the estate tax for the wealthiest heirs in the country—just months after giving them a $30 million tax free exemption," he wrote.
The GOP's second attempt at a budget reconciliation package comes months after it passed the One Big Beautiful Bill Act, a reconciliation package that gave more tax breaks to the rich, but cut Medicaid spending by nearly $1 trillion over the next decade, while also slashing spending on the Supplemental Nutrition Assistance Program by nearly $200 billion over the same period.
"Donald Trump and Republicans just sacrificed hospitals and lifesaving care for millions so they could hand out massive tax breaks to billionaires."
A healthcare advocacy group launched a project Thursday aimed at tracking hospital closures under the recently enacted Trump-GOP budget law, whose unprecedented cuts to Medicaid could force clinics across the United States to cut services or shut down entirely in the near future.
More than 700 rural hospitals, which rely heavily on Medicaid reimbursements, were already in dire financial straits prior to passage of the Republican budget package, which includes more than $1 trillion in Medicaid cuts. The new law is expected to push many struggling facilities over the edge.
"The consequences of this Republican bill are playing out in real time," said Protect Our Care, the advocacy organization behind new project, titled Hospital Crisis Watch. Earlier this month, a clinic in a rural Nebraska community announced that it would soon shut its doors, citing "anticipated federal budget cuts to Medicaid" as a major factor.
One analysis by researchers at the University of North Carolina at Chapel Hill estimates that more than 330 hospitals in rural areas across the U.S. are at risk of closing or curbing their services due to the Republican assault on Medicaid.
"With Hospital Crisis Watch, we're exposing the full scale of harm Republicans are inflicting on America's healthcare system."
Protect Our Care noted that Medicaid "accounts for one-fifth of spending on hospitals, one-fifth of hospital discharges, and at least one in five inpatient days in nearly every state."
" Donald Trump and Republicans just sacrificed hospitals and lifesaving care for millions so they could hand out massive tax breaks to billionaires," said Brad Woodhouse, the president of Protect Our Care. "This GOP bill won't just hurt people who rely on Medicaid or the Affordable Care Act—it rips care from everyone who depends on the hospitals, clinics, and nursing homes that will shut their doors as a result."
"With Hospital Crisis Watch, we're exposing the full scale of harm Republicans are inflicting on America's healthcare system—community by community, hospital by hospital," Woodhouse added. "The public deserves to know who's responsible, and we won't stop until Trump and Republicans are held accountable."
The project comes as hospital officials and healthcare experts are increasingly sounding the alarm about the looming impact of the Trump-GOP Medicaid cuts.
"What this does is put us at risk when the respiratory season hits," Benjamin Anderson, CEO of Hutchinson Regional Healthcare System, told NBC News earlier this week, saying the Medicaid cuts ensure that the 180-bed hospital his organization oversees will have to continue its hiring freeze.
"We're at real risk of wearing out the staff we have right now," Anderson warned.
"This bill isn't governance," said United Auto Workers president Shawn Fain. "This is a class war waged from Capitol Hill."
After Republicans pushed their unpopular reconciliation package through Congress last week, U.S. House Speaker Mike Johnson hailed the legislation as a step toward "a future where working Americans can feel relief."
But Shawn Fain, the president of the United Auto Workers (UAW), argued in an op-ed Tuesday for The Detroit News that such "hollow promises" are an attempt to obscure "a brutal agenda: stripping working-class people of security, dignity, and power while lining the pockets of billionaires" with trillions of dollars in tax breaks.
"The budget reconciliation bill that the Republicans just passed isn't just bad policy—it's a full-blown attack on America's working class," wrote Fain. "For the UAW and the millions of workers we represent, four core issues define what it means to live and work with dignity: a livable wage, affordable healthcare, retirement security, and time to enjoy life beyond the job. On every one of those fronts, this bill delivers nothing but setbacks."
Fain pointed specifically to the GOP law's more than $1 trillion in cuts to Medicaid. Those cuts, combined with Republicans' refusal to extend Affordable Care Act subsidies that are set to lapse at the end of the year, are expected to strip health coverage from around 17 million Americans over the next decade, according to the nonpartisan Congressional Budget Office.
The UAW president also points to the Republican law's lesser-known attack on Medicare recipients. The legislation, which President Donald Trump signed into law late last week, would restrict enrollment in Medicare Savings Programs—potentially causing more than a million low-income seniors to lose access—and force more than $500 billion in automatic cuts to Medicare.
"These aren't numbers on a spreadsheet," Fain wrote. "These are real people losing access to lifesaving care."
"By passing this legislation, the government is telling working-class families they're on their own while billionaires get even more tax breaks."
While the Trump White House and congressional Republicans have tried to cast the budget law's tax provisions as worker-friendly—in some cases by outright lying about what's in the legislation—Fain noted that the law's limited deductions for tips and overtime will only benefit a small sliver of Americans, and only until 2028.
"On the other hand, many of the tax benefits in this bill for the wealthy are indefinite and have no expiration date," Fain wrote. "This is the same bait-and-switch the Trump administration used to sell its 2017 billionaire tax giveaway to the American people: small, temporary tax breaks for working people, with massive, long-term benefits for the wealthy and corporate America."
"This bill isn't governance. This is a class war waged from Capitol Hill," Fain continued. "It shifts the balance of power even further toward the billionaire class and hollows out the rights and dignity of labor. By passing this legislation, the government is telling working-class families they're on their own while billionaires get even more tax breaks."
"It's a total betrayal," he added.
Fain is among many prominent labor leaders who spoke out forcefully against the Republican budget measure and warned about its potentially catastrophic impact on millions of workers.
National Nurses United, the nation's largest nurses union, called the day of the bill's final passage one of "the darkest days in the history of U.S. healthcare."
"People will suffer and die because of the cuts in this legislation to fund tax cuts for billionaires—certainly in the short term and potentially for decades to come if nothing is done," the union said. "Lawmakers have effectively signed the death warrants for millions."
Liz Shuler, president of the AFL-CIO, said that "every member of Congress who voted for this devastating bill picked the pockets of working people to hand billionaires a $5 trillion gift."
"But if the politicians who rammed through this shameful bill think they can sneak away without anyone knowing the damage they've done and the chaos they've created," said Shuler, "they don't know anything about the labor movement."