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Big Beautiful Bill Projected to Lead to Preventable Deaths

Este artículo estará disponible en español en El Tiempo Latino. Contrary to President Donald Trump’s claim that no one will die as a result of the Republican budget bill, an analysis from the University of Pennsylvania and Yale University estimated that the legislation’s changes to Medicaid and the Affordable Care Act will result in at least 42,500 preventable deaths each year. At the same time, independent Sen. Bernie Sanders has slightly overstated the estimate. In the run-up to and in the wake of the passage of the One Big Beautiful Bill Act, which Trump signed into law on July 4, politicians of both parties have sparred over the budget reconciliation bill’s effects on mortality. Democrats, including House Minority Leader Hakeem Jeffries and Senate Minority Leader Chuck Schumer, have said that “tens of thousands” of people will die as a result of losing health insurance. “51,000 Americans will die each year so that the top 1% can get a $1 trillion tax break,” Sanders wrote in a July 3 post on X. “This bill is a death sentence.” Sanders repeated the claim in a July 9 post, using a figure of “more than 50,000.” Meanwhile, Trump has insisted that the Democratic talking point isn’t true. “The Democrats have come up with a false narrative. … It’s death, death, everyone’s going to die,” he said in a July 8 Cabinet meeting. As he had before, Trump said that the bill was “just the opposite. Everyone’s going to live.” “Somebody gave them a soundbite, ‘it’s going to cause death,’” Trump said in a July 12 interview on Fox News, referring to Democrats and the law. “It is not going to cause death. It’s going to keep people alive and it’s going to make our country successful.” Sanders is using a higher estimate than he should, but researchers at Yale and Penn’s Leonard Davis Institute of Health Economics projected in June that the House-passed version of the bill would “result in more than 42,500 deaths annually.”  The tally includes 11,300 deaths as a result of people losing Medicaid or Affordable Care Act marketplace insurance, as well as 18,200 deaths from low-income Medicare patients losing prescription drug benefits and 13,000 deaths from rescinding a Biden-era rule that required a higher minimum staffing level in nursing homes.  The group, which performed its analysis in response to an inquiry from Sanders and Sen. Ron Wyden, a Democrat from Oregon, based its projections on a preliminary Congressional Budget Office estimate that 7.7 million people would lose insurance coverage as a result of the bill. The CBO later projected that due to the House bill, 10.9 million people would be uninsured in 2034, a figure that includes 7.8 million becoming uninsured because of Medicaid changes in the bill and 3.1 million losing coverage due to changes to the Affordable Care Act. The CBO hasn’t yet provided an estimate for the final legislation, but said that a modified Senate version of that bill would increase the uninsured by 11.8 million people in 2034. Dr. Rachel Werner, a co-author of the analysis and LDI’s executive director, told us in an email that it’s “incorrect to say that no one will die as a result” of the legislation. “There is strong evidence that Medicaid coverage saves lives,” she said. Photo by Orathai / stock.adobe.com “Getting someone insurance allows them to get screened for diseases like cancer. It’s a major source of providing people with treatment for the opioid epidemic,” Werner explained in a conversation with the Tradeoffs podcast. “It allows people to get medications to manage their chronic conditions. And so if you suddenly pull back all those resources that have been allowing people to get the care they need, the evidence is very clear now that we will lose lives.” Another projection, published in mid-June in the Annals of Internal Medicine by researchers at Harvard Medical School and the City University of New York, estimated that the House bill’s Medicaid spending cuts would lead to between 8,200 and 24,600 medically preventable deaths a year, with a mid-range estimate of 16,642.  The study’s estimate, Werner explained, is “comparable” to the single 11,300 component of deaths from loss of insurance in her group’s total estimate. As she said on the Tradeoffs podcast, “we’re at the low end of that range, which is reassuring to us.” Both the Harvard-CUNY and Penn-Yale authors have noted that the CBO estimates themselves may be low. When doing its calculations, the CBO assumed that states, which will lose some federal Medicaid funding under the bill, would use state money to make up for half of those losses. “I think that that is a long shot,” Werner told Tradeoffs. “States budgets are very tight right now. Some states may be able to make up half of what they lose from the federal government, but I think it’s not a stretch to say most states can’t. And so if the funding that’s available for Medicaid goes down more than the CBO estimated, more people are going to lose access to coverage. So I think that I’m pretty confident that we are at the low end of the right ballpark.” Both projections capture only a portion of the possible mortality effects. Dr. Eric Roberts, a co-author of the Penn-Yale analysis, said that his estimate does not include any deaths that might result from potential hospital closures, for example. We asked the White House if they were aware of the Penn-Yale analysis and for support for Trump’s claim that the budget law would not lead to preventable deaths. “Reporters ignoring the commonsense reforms of The One, Big, Beautiful Bill that protect and preserve Medicaid while raising wages and growth to instead push debunked Democrat talking points with these sort of pointless ‘fact checks’ that rely on mindless hairsplitting is exactly why public trust in the media is at a record low,” White House spokesman Kush Desai replied in an email. As for Sanders’ 51,000 figure, the number appears in the Penn-Yale estimate, and a Sanders spokesperson confirmed the analysis was the source of his claim. But it reflects an additional 8,811 preventable deaths that come from not extending expanded ACA premium

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MAGA Ad Distorts How Massie Diverges from Trump

Este artículo estará disponible en español en El Tiempo Latino. An attack ad by a super PAC called MAGA Kentucky targets Republican Rep. Thomas Massie — a longtime conservative foil of President Donald Trump — with claims that distort the congressman’s votes on some of Trump’s policy goals. The 30-second broadcast and digital ad, the first phase in a $1 million ad buy, according to Axios, began airing in late June in the northern Kentucky district where Massie is seeking reelection in 2026. The ad is titled “RADICAL DEMOCRATS,” and its narrator asks, “What happened to Thomas Massie? When did he decide to start voting with the radical Democrats? Massie voted against President Trump’s tax cuts. Massie voted against finishing Trump’s wall. Massie even voted against Trump’s ban on taxpayer-funded sex changes for minors.” The ad is referring to Massie’s votes against Trump’s One Big Beautiful Bill Act. Massie was one of only two Republicans to vote against the initial House version of the bill on May 22, and the final Senate version of the bill on July 3. Although the bill contained elements of all three issues highlighted in the ad, Massie’s opposition was based on the bill’s impact on the national debt. The ad singles out aspects of the bill that Massie has generally supported. During Trump’s first term, Massie voted for Trump’s Tax Cuts and Jobs Act in 2017, and he has said repeatedly that he supports extending tax cuts in it that were scheduled to expire at the end of this year. “Look, I’m for the tax cuts, extending those tax cuts. I voted for those in 2017,” Massie said in a May 20 interview on Newsmax2. “Here’s the problem: we’re cutting more taxes, and we’re increasing spending. And to the extent they say we’re cutting spending, that doesn’t happen in these first few years. They’re saying, ‘We’ll do that in the later years.’ The problem is the later years never come.” “There are a lot of good things in this bill,” Massie said in a Newsmax interview on June 11. “We do need to deport the people who’ve come to this country illegally. I do support renewing the 2017 Tax Cuts and Jobs Act that I voted for.  But let me tell you what they’re not talking about … Number one issue, no tax on tips, no tax on overtime, the tax break for seniors, that all expires in three years. And that’s because they’re using a budget gimmick where they’re trying to say this thing balances five years from now. But it doesn’t balance now.” As for voting against “finishing Trump’s wall,” Massie has been a staunch supporter of building more border wall, though he has not always agreed with Trump’s method for funding it. In 2019, for example, Massie voted with Democrats to upend Trump’s attempt to fund the wall by declaring a national emergency. Massie argued that Congress, not the president, should decide on funding for construction of the border wall. But he also supported and voted to provide more than $5 billion to fund Trump’s border wall in fiscal year 2019. And in 2023, Massie co-sponsored H.R. 164, the Close Biden’s Open Border Act, which sought to provide $15 billion for border wall construction. As for the ad’s claim that Massie “even voted against Trump’s ban on taxpayer-funded sex changes for minors,” Massie has opposed gender-affirming surgery for children. Massie said in post on X after his vote: “Although there were some conservative wins in the budget reconciliation bill (OBBBA), I voted No on final passage because it will significantly increase U.S. budget deficits in the near term, negatively impacting all Americans through sustained inflation and high interest rates.” As we’ve written, multiple independent analyses have found that the legislation, which Trump signed into law on July 4, will add trillions of dollars to the federal deficit over 10 years. Massie had sought to amend the reconciliation bill to address federal jurisdiction in various cases of gender-affirming surgery. When the bill made its way through the Senate, according to Massie, the legislation allowed for funding of such medical procedures. Alluding to the MAGA Kentucky ad, Massie said on X, “What’s ironic is the senate stripped the ban on sex changes for minors from the BBB (referenced in the ad), so now everyone supporting the current BBB is for sex change for minors, using their logic?” Long History of Animosity The political friction between Trump and Massie goes back years. In March 2020, the Kentucky lawmaker tried to block Trump’s $2 trillion coronavirus economic stimulus package by forcing Congress to return to Washington for a vote on the bill, leading Trump to call Massie a “third rate Grandstander.” In 2024, Massie was critical of Trump for not fighting to ensure funding to complete the southern border wall during the president’s first term. Massie also endorsed one of Trump’s early challengers in 2024, Florida Gov. Ron DeSantis, in the Republican presidential primary. Massie and Trump clashed again in June, after the U.S. bombed the uranium enrichment facilities in Iran. Massie posted support for a War Powers Resolution vote in Congress to rein in Trump’s actions. “This is not our war,” Massie said on X. “But if it were, Congress must decide such matters according to our Constitution.” After Massie registered opposition to the One Big Beautiful Bill Act, Trump lambasted Massie on Truth Social as “a LOSER” and as “weak, ineffective,” and Trump has vowed in speeches to endorse a Republican primary opponent to Massie in the 2026 election. “I think he should be voted out of office,” Trump said. Massie’s War Chest Massie has held his office in Kentucky’s 4th Congressional District since 2012, and he easily defeated primary challengers in the last three election cycles, winning 75% of the vote in 2024, 75% in 2022 and 81% in 2020. Trump advisers are looking for a viable challenger in 2026, and Fox News posted a July 1 video of Trump saying Massie will have “a good opponent.” Massie has been gearing up for the fight. He has $1.7 million in his war chest, the

Factcheck.org

Border Czar Makes Misleading Claim About Immigrants With Criminal Records

Este artículo estará disponible en español en El Tiempo Latino. The Trump administration’s border czar, Tom Homan, has been repeating the misleading claim that there are “over 600,000 illegal aliens with criminal records walking the streets of this nation.” That number includes legal immigrants, not just those who entered the country illegally; about a third of them have only been charged, not convicted; and it’s unclear how many of them have been, or currently are, incarcerated. The figure also includes people who entered the country over the last several decades. Homan made the claim on July 12, at the Turning Point USA Student Action Summit in Tampa, Florida, and twice on July 7, including in an appearance on Fox News, which reported that new funding to U.S. Immigration and Customs Enforcement will enable the current force of 5,000 agents to triple to 15,000. There, Homan said, “This is going to make this community safer. … We’ve got over 600,000 illegal aliens with criminal records walking the streets of this nation. With this plus up, we can take them into custody and remove them quicker.” The White House told us that Homan’s claim was based on data from a 2024 letter from then Department of Homeland Security Deputy Director Patrick Lechleitner to Rep. Tony Gonzales, a Republican from Texas who had requested information on the number of noncitizens on the ICE docket who had been convicted or charged with a crime. The data showed that, as of July 21, 2024, “nearly 650,000 criminal aliens were on the [Non-Detained Docket],” a White House spokeswoman told us, referring to the list of noncitizens who have been charged with a crime but are not in ICE custody. But there are important caveats missing from Homan’s claim. Of the total 647,572 noncitizens with criminal histories who were listed as being “non-detained” as of July 2024, 126,343 — or, about 20% — had “traffic offenses.” Another 92,075 had “immigration” offenses. So, at least a third of the total did not have violent criminal histories. In comparison, 14,944 were listed as having “homicide” charges; 20,061 were listed as having “sexual assault” charges; 105,146 had “assault” charges; 30,631 had “larceny” charges; and 21,106 had “fraudulent activities” charges. Not all of those listed in the 2024 data had been convicted, though. Of the 647,572 total, 222,141 — or 33% — had been only charged. It’s unclear how many of those pending cases ended in convictions. It’s also important to note that the data doesn’t distinguish between immigrants who crossed the border illegally, immigrants who overstayed their visas, and immigrants who are in the country with documentation. “The non-detained docket includes not just unauthorized immigrants but green-card holders and noncitizens on long-term non-immigrant visas who have made themselves removable by virtue of a criminal conviction,” Michelle Mittelstadt, director of communications for the nonpartisan Migration Policy Institute, told us when we wrote about this data last year. Lechleitner’s letter was sent in September, and President Donald Trump, who was campaigning at the time, distorted the data, falsely claiming that then Vice President Kamala Harris “let in 13,099 convicted murderers.” More recently, Trump has repeatedly used the figure “11,888 murderers,” though he appears to be citing the same data. We asked the White House why the number is different, but we didn’t get a response to that question. Instead, White House spokeswoman Abigail Jackson told us in an emailed statement, “Joe Biden let thousands upon thousands of violent criminal illegal aliens into American communities including murderers, rapists, gang members, and other violent criminals. President Trump will deport them all.” When we wrote about Trump’s claims in September, DHS told us that the figures weren’t just for recent immigrants, but included people who entered the country over the last 40 years or more. And DHS said in a statement at the time that the data “also includes many who are under the jurisdiction or currently incarcerated by federal, state or local law enforcement partners.” So, the 647,572 people on the list were not being detained by ICE, but some number of them were in the custody of state, local, or other federal authorities. We asked DHS last year, and again this week, how many were in the custody of other agencies, but we didn’t receive a response. Also, given that the data cover several decades, “[i]t would be worth noting that people with criminal convictions who are not in custody have, for the most part presumably, served whatever sentence was imposed on them,” Mittelstadt told us in an email last week. It’s also possible that some of them have been deported. Since the Trump administration has put an emphasis on deporting immigrants with criminal backgrounds, we asked DHS for updated figures. The department didn’t respond to our request for that data, but a spokesperson provided a statement that said Secretary Kristi Noem was using ICE to “target the worst of the worst.” Editor’s note: FactCheck.org does not accept advertising. We rely on grants and individual donations from people like you. Please consider a donation. Credit card donations may be made through our “Donate” page. If you prefer to give by check, send to: FactCheck.org, Annenberg Public Policy Center, P.O. Box 58100, Philadelphia, PA 19102.  The post Border Czar Makes Misleading Claim About Immigrants With Criminal Records appeared first on FactCheck.org.

Politics

Live updates: Trump’s health takes spotlight; Johnson looks to quiet Epstein controversy

President Trump’s health was thrust into the spotlight on Thursday afternoon, as the White House revealed he had been diagnosed with has chronic venous insufficiency after an exam. White House press secretary Karoline Leavitt shared a note from Trump’s physician during a press briefing that detailed the exam. Trump underwent ultrasounds and a “comprehensive exam” that included…

Politics

You won’t believe the latest evidence of Trump’s brain rot

New concerns about President Donald Trump’s mental state are being raised after he recounted a story purportedly involving his college professor uncle and the Unabomber that simply never happened. Speaking in Pittsburgh, Pennsylvania, on Tuesday, Trump claimed that his late uncle John Trump taught Unabomber Ted Kaczynski at the Massachusetts Institute of Technology. He then claimed that he quizzed his uncle about his supposed student. “Kaczynski was one of his students. Do you know who Kaczynski was? There’s very little difference between a madman and a genius,” Trump told the audience. “I said, ‘What kind of a student was he, Uncle John—Dr. John Trump? I said, ‘What kind of a student?’ And he said, ‘Seriously good.’ He said he’d go around correcting everybody. But it didn’t work out too well for him.” YouTube Video None of this ever happened. As CNN reports, Trump’s uncle died in 1985. While Kaczynski’s streak of homicidal bombings began in 1978, his identity was unknown to the public until his arrest in 1996—11 years after John Trump’s death. Also, Kaczynski was not a student at MIT. He attended Harvard University and the University of Michigan. “We have no enrollment record or information that Ted Kaczynski ever attended MIT,” a spokesperson told CNN. The completely invented interaction gives renewed fodder to ongoing concerns about Trump’s mental state. California Gov. Gavin Newsom and President Donald Trump In June, California Gov. Gavin Newsom said that Trump “lost it,” and that he noticed a change in Trump’s behavior compared to past personal interactions. “He is not the same person that I dealt with just four years ago, and he’s incapable of even a train of thought,” Newsom told Fox 11 Los Angeles. And this keeps happening. Trump has repeatedly mixed up key historical facts and figures, including forgetting the leaders of foreign nations—a vital part of his job as president. When running for office in 2024, he confused former Speaker Nancy Pelosi with his then-GOP rival Nikki Haley. While corporate media tirelessly went after President Joe Biden’s mental acuity and age, there has largely been silence about Trump’s numerous episodes of mental misfiring. As recently as last Friday, Trump even claimed that he saw Secretary of Defense Pete Hegseth “on Fox News this morning.” Hegseth did not appear on the network. As commander in chief of the U.S. military, Trump recently used his presidential power to order a strike on Iran. In addition to his other duties, which give him access to national security secrets, his inability to demonstrate mental soundness adds to existing concerns about his fitness to lead.

Politics

Democratic senators are fed up with GOP colleagues’ bullsh-t

Senate Judiciary Committee Democrats walked out of a hearing on Thursday in protest of their GOP colleagues advancing President Donald Trump’s nomination of his scandal-plagued personal criminal defense lawyer, Emil Bove, to serve as a lifetime judge on the 3rd Circuit Court of Appeals. Democrats were irate that Judiciary Committee Chair Chuck Grassley, Republican of Iowa, refused to hear a whistleblower’s testimony accusing Bove of willfully defying court orders that blocked some of Trump’s deportations. Grassley instead ended debate and called for a vote to advance Bove’s nomination to the Senate floor. “This lacks decency. It lacks decorum. It shows that you do not want to simply hear from your colleagues,” Democratic Sen. Cory Booker of New Jersey said as Grassley ordered the vote. “This is us simply trying to rush through one of the most controversial nominees we’ve had under this presidential administration.” And Democratic Sen. Mazie Hironi of Hawaii called the Senate Judiciary Committee a “kangaroo court” as she walked out. YouTube Video Democratic Sen. Peter Welch of Vermont explained why he and his colleagues left instead of casting their votes—which wouldn’t have mattered anyway, given that every Republican voted in favor of Bove’s nomination. “Senator Grassley violated the rules and refused to allow Senators to speak against Emil Bove’s lifetime judicial appointment. So I and every Democrat on the Judiciary Committee walked out of the hearing,” Welch wrote on X. Emil Bove, President Donald Trump’s former personal criminal defense lawyer and nominee for a lifetime federal court appointment Bove, for his part, doesn’t deserve to step foot in a federal court, let alone serve as a lifetime judge on one. Aside from being accused of willfully defying a court order, Bove also oversaw the pardons of hundreds of Capitol insurrectionists—many of them violent—and then led the charge to purge the Department of Justice of agents and prosecutors who worked to bring those traitors to justice. Bove also ordered federal prosecutors to dismiss the charges against New York City Mayor Eric Adams in exchange for Adams’ cooperation with Trump’s deportation agenda. And he’s even been accused of lying in court. So it’s unsurprising that hundreds of former DOJ officials and dozens of retired judges have spoken out against Bove’s nomination. “It is intolerable to us that anyone who disgraces the Justice Department would be promoted to one of the highest courts in the land, as it should be intolerable to anyone committed to maintaining our ordered system of justice,” read a letter to the Senate Judiciary Committee, which was signed by more than 900 former DOJ employees. Related | Trump rewards yet another one of his defense attorneys with a cushy gig Similarly, several retired judges signed on to a letter declaring that Bove does not deserve to be a federal judge. “Mr. Bove’s egregious record of mistreating law enforcement officers, abusing power, and disregarding the law itself disqualifies him for this position,” the judges wrote. But that didn’t stop Senate Republicans from advancing his nomination—including Sen. Thom Tillis of North Carolina, who recently claimed that he would never vote for a Trump nominee who supported the Jan. 6 insurrection. Apparently TACO applies to the rest of the GOP, too.

Politics

Senate Democrats Walk Out Of Hearing In Protest As Republicans Hold Illegal Vote

Please support PoliticusUSA by considering becoming a subscriber. Subscribe now Republicans in the House and Senate are so desperate to do Donald Trump’s bidding before they potentially lose power next November, that they are now violating the rules of their bodies to please Donald Trump As Senate Democrats walked out of the Judiciary Committee hearing on the nomination of Emil Bove to the federal bench, ranking member Sen. Cory Booker (D-NJ) said behind to deliver a statement before he too left. Booker said: Why are you doing this? This is outrageous. This is a kangaroo court. That’s all we have here. Mr. Chairman, to violate your own rules without going by the mandates of the parliamentarian. This is unbelievable. There’s a way to do this if you want to force this through. If you want to ram this through, there’s a way to do it in accordance to the rules as spelled out by the parliamentarian. It is simple. It is clear there’s a pathway to achieve what you’re trying to achieve. It shows that you do not want to simply hear from your colleagues. This is absolutely wrong. And, sir, this is this is, to me, one of those moments where we are not showing common respect for each other on both sides. I have sat here when we were in the majority and listened to my colleagues arguments, listen to their passionate statements, and then we voted. This is not that. This is us simply trying to rush through one of the most controversial nominees we’ve had under this presidential administration, sir. God bless America. You are a good man. You are a decent man. Why are you doing this? What is Donald Trump saying to you that are making you do something which is violating the decorum of this committee, the rules of this committee, the decency and the respect that we have each other to at least hear each other out? PoliticusUSA is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. I’ve sat through so many long speeches of my colleagues, heard their objections. Listened with sincerity to try to see what their arguments are. But we are not doing that, sir. This is wrong, and you know it. There are some people on this committee who are the least firebrand people, and they’ve walked out some of the least controversial people in the Senate, some of the people that worked the hardest to find bipartisan common ground have just walked out of this committee, and you don’t even seem to care. But I know you do. I know your heart, Senator Grassley. This is wrong. I know the kind of person you are, and you know this is wrong. There’s no this is not necessary. What is another half an hour to allow senators to be heard? It’s what the Constitution mandates. It’s the ideals of the United States Senate. The world’s most deliberative body should take a decent amount of time to deliberate. But here, we’re not doing that here. We are jamming this through with some sense of false urgency. It’s one thing not to hear from whistleblowers. It’s another thing not to hold another hearing. But to not even allow my colleagues to have their moment to speak against this justice. It’s just wrong. And I know you know this. I know you know this. The only time this rule has ever been overturned by both parties was done when one minority was trying to pull some stunt to stop the committee from hearing this is not that. This is not the two-hour rule. This is a basic element of the ideals of this committee, sir. It is the basic understanding of having debate and deliberation. It’s a basic understanding of we can listen to each other, even if we disagree, that we should have time and space and a forum to listen. Sir, this is just wrong in every way. It is wrong in every single way. This is an abuse of power. It’s an undermining of the well-being and the integrity of this, this senate and this committee that I have for so long. I’ve been so honored to be a part of. This is wrong, sir. And I joined with my colleagues and leaving. This is a sham vote. This is wrong. Committee Republicans violated the committee rules that require at least two members of the minority party be present before a vote can be held. Chairman Chuck Grassley held the vote on the nomination with zero Democrats present. Republicans took these extreme steps to silence a whistleblower whose claims suggest that Bove is completely unfit and unqualified for a lifetime appointment to the federal bench. What was more important than the Democratic walkout was Cory Booker explaining exactly why they were walking out. The American people need to understand that the disease of lawlessness has infected more than the White House. It has also consumed the Republican majorities in Congress. Republicans are abusing their power, and it is up to Democrats to expose them. What do you think of the Democratic walkout and Republican abuse of power? Share your thoughts in the comments below. Leave a comment

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