How 17M Americans enrolled in Medicaid and ACA plans could lose their health insurance by 2034

The big tax and spending package President Donald Trump signed into law on July 4, 2025, will cut government spending on health care by more than US$1 trillion over the next decade.

Because the final version of the legislation moved swiftly through the Senate and the House, estimates regarding the number of people likely to lose their health insurance coverage were incomplete when Congress approved it by razor-thin margins. Nearly 12 million Americans could lose their health insurance…