Big Beautiful Bill

How Income Taxes Work…and Why The Big Beautiful Bill Isn’t So Beautiful

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It stands to reason that I’m no fan of the Congressional Budget Bill that was recently signed into law. There’s a lot to hate about the contents of that legislation, and I’ve touched on some of those things previously. But it’s worth taking a moment to look at the “good” portions of what we’ve all heard referred to as the “Big Beautiful Bill” as well. This is, after all, the bill that everyone is so proud of and so certain you should be proud of too.

Before I get to all of that, unfortunately, I’m going to have to spend some time on a bit of a tangent. This will be long, tedious, and number-heavy, but I will do my best to make it at least marginally interesting too. It could be beneficial for everyone to read it. It seems like many people don’t understand the basics of how taxes work, so I also want to take some time to delve into that, while discussing how we are shortchanging Social Security and our Federal Revenue by catering to the wealthiest people in America. To do that, a discussion of how Taxes work is sort of imperative.

The 2017 Tax Cuts were set to expire this year, but are now permanent. However, I’m not sure how many people actually comprehend how tax rates are applied or how the brackets work, so it might be worthwhile to dedicate some time to explaining that.

For an individual (I’m not doing this for all statuses, you can do that shit yourself):

We’re going to make this simple; we’re going to pretend you earn $1 Million a year. Yes, I understand that less than 0.5% of Households fall into that category. In America, fewer than one million Households earn at least $1 Million in annual income. Congratulations on becoming part of the Top 1%, you magnificent bastard.

For the first $11,600 you earn, you owe 10% of that in Federal Taxes, which is $1,160. The math on that little bit is simple, just remove a 0 from the end.

For every dollar you earn between that amount and $47,150, you owe 12% in Federal Taxes. This comes out to $4,266. So, if your income were exactly $47,150 per year, you would only owe $5,426 in total. But that’s not you. You’re earning a whole hell of a lot more than that now.

For every dollar between $47,150 and $100,525, you are paying 22% in Federal Taxes, which translates into an additional $11,742.50.

The next bracket takes you all the way up to an income of $191,950. At that point, you are paying 24%, or another $21,942. If you’ve been paying attention, you’ll see that our current Tax Burden is sitting at $39,110.50.

From $191,950 to $243,725, we are looking at a rate of 32% paid out to the Federal Government. That adds another $16,568 to your tax bill.

The next bracket is in effect up to $609,350, at a rate of 35%. That tacks on an additional $127,968.75. Your total Tax Burden is now sitting at $183,647.25. I know, that seems like an awful lot. But, come on, you’d be earning more than $600,000, giving up less than a third of that doesn’t seem so bad. Don’t be so greedy.

For every dollar above that, regardless of how much more you earn, we’re looking at a static rate of 37%. So, for the rest of your $1 Million income, it’s only another $144,540.50. See, that really isn’t so bad.

So, on your brand new $1 Million salary, you’d owe the IRS a grand total of $328,187.75 for the year, leaving you with $671,812.25 of your income.

Of course, there’s also Social Security Tax, which is currently 6.2% on everything up to $176,100. If that seems unreasonably low to you, next year the cap will be higher, because it adjusts annually according to the average wage index.

We’re going to stop here for a moment. Consider it the equivalent of a Scenic Overlook on a road trip. Much like a Scenic Overlook, you can take this as an opportunity to relieve your bladder. If you’d like to know one major reason Social Security is going to be depleted by 2032, we just skirted past it. One primary cause is that you (with your $1 Million annual salary) are not paying into Social Security on $823.900 of your earnings. That would have been $51,081.80 that could be contributed in addition to the $10,918.20 you’re paying in. The math on that one is easy, too, because it’s another example of simply removing a 0 or two. Instead of paying $62,000 into the Social Security fund, you only paid $10,918.20. If your salary were $5 Million, you avoided paying $299,081.80. That hardly seems reasonable, does it?

As we discussed (you lucky bastard), fewer than 0.5% of American households had an annual income of more than $1 Million in 2022, according to the World Economic Forum. Somewhere in the vicinity of 400,000 to 500,000 people earn $1 Million or more a year. Assuming they were all capped at exactly $1 Million, and there were 400,000 of them, that would be $20.4 Billion not being collected for Social Security every year because of that cutoff at $176,100. This has been a problem since the 1980s, because earnings for upper-income levels have risen substantially faster than those of the rest of the population.

Despite President Trump’s assurances that the Congressional Budget Bill would remove taxes on Social Security, that is not what happened. Instead, what we received was a temporary Deduction that applies to all income for people 65 and over, though it does include Social Security income.

The final version passed by the Senate makes this a $6,000 Deduction for individuals with adjusted gross income of up to $75,000 annually, or $150,000 for couples filing together.

The deduction will expire after four years and does not apply to all recipients, including those who claim Social Security benefits before they turn 65. So, unless you’re over the age of 61, you won’t be benefiting from this temporary deduction.

This is where we locate yet another major driver behind the failure of our Social Security program. Some estimates suggest this will accelerate the depletion of Social Security by two years, pushing the date up to 2032. All while increasing the federal debt by 7% over the next 30 years. So, suppose you’re under 58 years old as you’re reading this. In that case, you can dispel any assumption that you’ll be able to benefit from the tax-free Social Security (or Social Security at all) when you do turn 65, because the Social Security Trust will more than likely be empty, no matter how much you personally paid into it throughout your employment history. I’ll come back to the depletion of Social Security after I finish going over how your taxes work and take some time to touch on the other “good” things found in the Congressional Budget Bill.

Moving on, there’s the Medicare Tax of 1.45% up to $200,000, and 2.35% on every dollar beyond that, so you’re paying $21,700 into Medicare for the year.

Deductions then factor in, and the odds are that your effective tax burden will be substantially decreased.

First, there are Above-The-Line deductions. These are subtracted from that $1 Million you earned for the year before anything else factors in, decreasing your Tax Burden by formulating your Adjusted Gross Income.

If you paid toward Student Loans, used a Health Savings Account, contributed to a traditional IRA, or any of several other things that contribute to your overall deductions, that’s something you can figure out on your own. Those things are deducted before the Standard Deduction.

The Senate version of the Congressional Budget Bill allows people to deduct income paid as tips (in careers where tips are customary). This amount is capped at a maximum of $25,000. I’m not sure how common it is for someone to earn more than $25,000 in tips over a year, but since most tipped workers are at or below the Federal Poverty Level, it seems unlikely that there are many. This is only in effect through 2028.

The Senate proposal limits that deduction on Overtime Pay to $12,500 per individual. This is also temporary, expiring after 2028.

So, those are some of the “positive” things we can look forward to.

The Standard Deduction was previously $15,000 for an individual or $30,000 for a married couple filing jointly. Once the changes took effect, the Standard Deduction increased to $15,750 and $31,500, respectively.

The new Standard Deduction of $15,750 is a given, but anything else beyond that is specific to the individual. Assuming none of the Above-The-Line deductions apply to you, what that means is that you will only be taxed as if you earned $984,250 instead of $1 Million, which would knock $5,817.50 off of your tax bill. That doesn’t seem like much, but it’s not nothing. Of course, if you have to itemize your deductions, the change in the Standard Deduction is irrelevant.

Non-itemizing filers can now claim $1,000 in charitable giving per year, and couples can claim $2,000 for deductions.

The Senate’s version of the Child Tax Credit, while slightly lower, is permanent. So, instead of a deduction of $2,500 per child, it’s $2,200, but at least it doesn’t expire in 2028 as some of the Above-The-Line deductions will.

The State and Local Tax Deduction will increase from $10,000 to $40,000, and increase by an additional 1% every year until 2030, when it will revert to $10,000. I don’t know if you live in a state where you pay State Income Tax, but chances are good that you do. That percentage is extremely variable, depending on where you live (which you know if you read what I wrote regarding Single-Payer Healthcare), so I won’t bother calculating it. I live in a state without it, but work in a state where there is State Income Tax, so this is beneficial to me.

The changes to the Estate and Gift Tax will benefit almost no one.

It increases from an exemption of $13.99 Million to $15 Million for individuals and $27.98 Million to $30 Million for couples who file jointly. I say this will benefit almost no one because the minimum net worth to be part of the wealthiest 1% is $13.7 Million as of this January, according to Investopedia. So, less than 1% of the population has the potential to leave an Estate or Gift of $15 Million.

Now, the trouble is that the people who could benefit from that increased exemption are the ones who really don’t fucking need it.

Individuals like Elon Musk, Mark Zuckerberg, Peter Thiel, Jeff Bezos, and other multi-billionaires avoid paying Income Taxes in several ways. Elon Musk receives no salary from Tesla, but was approved for a ten-year pay plan from the company last year that had a value of $44.9 Billion. The trick is that it was all in stocks, which means he won’t be paying any Federal Income Tax on that, while he can still use the stock value as collateral for loans, credit, and the like.

Mark Zuckerberg received an annual income of $1 last year, but received compensation amounting to $27.2 Million, which included $14 Million to cover his security and an estimated $1 Million in private jet travel. The rest, as you would imagine, came in the form of stocks.

Peter Thiel’s income is not publicly available. That’s something you might find amusing, considering what Palantir is capable of. Despite not knowing his annual income, we do know he has invested more than $5 Billion in Roth IRAs, which cannot be taxed, assuming he waits until retirement to liquidate them.

Jeff Bezos typically received a salary of $81,840, with total compensation that added up to $1.68 Million in 2022. Because of how he earns most of his money, via stock options, it was estimated he earned $8 Million every hour of the year between 2023 and 2024. And yet, there are several years in which he paid no Federal Income Tax, and has maintained an effective Tax Rate of 0.98% compared to his accumulation of wealth.

If you’re noticing a trend, you’re at least moderately observant. These people at the top of the American financial ladder are not even coming close to contributing their fair share in taxes. In part, because we don’t tax Unrealized Gains, which means all the stock options contribute to their Net Wealth and allow these people to live as they do, but are never taxed until they sell shares, and then Capital Gains Tax comes into play.

If something doesn’t seem wrong about that, you’re not paying attention.

There are years when the wealthiest people in the world are literally paying less in taxes than the people below the poverty level, and not just by percentage, but by dollar value.

Putting an end to that should be a priority. All it would take is implementing an Unrealized Gains Tax above a certain dollar value, maybe a 50% Tax on anything above $15 Million (just like the Estate and Gift Tax). Hell, Kamala Harris was far more generous, proposing a 25% tax on Unrealized Gains for anything over $100 Million. People freaked out over that because they had no idea what they were talking about, and because they were fed misinformation and fear-mongering that led them to believe their home’s increasing sales value would further increase their taxes. In reality, her proposal would have impacted fewer than 11,000 people nationally, and if you’re reading this, you’re probably not one of them. You probably don’t even know any of them, at least personally. That’s the kind of Tax Reform we need from something that anyone would consider worthy of calling a Big Beautiful Bill.

Now, I promised I’d get back to this, and I like to keep my promises. There’s one more massive driver behind the imminent failure of our Social Security program. It’s time to finish the discussion of why Social Security is likely to be bankrupt in only seven short years. We can thank Ronald Reagan and his Social Security Amendments of 1983 for that lovely little “fuck you,” with powerful assists from Alan Greenspan and a complicit and lazy 98th U.S. Congress.

Unfortunately, Trickle-Down (Supply Side) Economics was working out precisely as anyone but a moron would expect it to, and the decreased tax rates (for the highest income earners) were generating far less revenue than was promised. Our economy was in pretty big fucking trouble, because nothing but the delusional fantasies of our President happened to be trickling down. Reagan convinced a large number of people that Social Security was on the verge of bankruptcy, even though it wasn’t. But he had a solution. It was a two-pronged approach that would save everyone.

Surplus Social Security revenue generated by a Payroll Tax Hike implemented under Reagan, to the tune of roughly $2.7 Trillion, was meant to be invested in U.S. Treasury Bonds and held in trust until approximately 2010. That was it. That was his brilliant solution. It might have actually paid off, but Ronald Reagan was (predictably) Ronald Reagan.

Of course, Reagan, being the piece of shit he was, the surplus revenue raised by the payroll tax hike went into the General Fund instead of U.S. Treasury Bonds. Reagan then proceeded to spend every dime of that surplus that appeared during his remaining time in the White House. George H.W. Bush, Bill Clinton, and George W. Bush followed suit and treated it like a fucking slush fund as well. Instead of putting $2.7 Trillion into trust, the money was spent on wars, covering the deficit from additional tax cuts for the wealthy, and shoring up other areas of the government.

Maybe this would have worked out if Social Security hadn’t stopped generating surplus revenue back in 2009, but it did. In 2010, it ran at a loss for the first time since 1983, by more than $40 Billion. This was money we borrowed from China. And we’ve had to borrow money from somewhere every year since then.

Well, we all sort of see where it goes from there. What’s worth noting is that, assuming we’d just kept the $2.7 Trillion where it belonged, and our Social Security shortage was by roughly $50 Billion every year, it could still be solvent through 2064, or 32 additional years from what is now projected.

America’s Healthcare System Is Terrible…But That’s Okay…It’s Getting Worse

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The Healthcare System in this country is so totally broken. And it never ceases to amaze me that so many people either fail to see that or simply don’t care. I can only assume that the bulk of those individuals have never known or loved someone with a chronic illness or a disability of some kind, or–god forbid–something atypical in their biology.

They’ve never listened to the tearful conversations with doctors who regretfully share the news that the procedure or medication they recommended on the patient’s behalf has been declined by someone who is paid by the Insurance Company to locate any possible errors in Medical Coding, Coverage Limits, or what their Tables indicate as Appropriate Treatments.

I assume that they’ve never watched someone they care about waiting months as they jump through one hoop after another, as the actual Medical Practitioners dot every “i” and cross every “t”, per the wishes of an Insurance Provider who is just as likely to Deny the recommended treatment after all is said and done.

Surely, they’ve never watched someone give up, too exhausted to keep fighting Denial after Denial, of something several Medical Professionals have confirmed they need or that would improve their Quality of Life

After all, how could anyone who has witnessed or experienced things like that be of the mind that our Healthcare System isn’t bad enough as it stands, and needs to be made worse? That’s precisely what the Trump Administration and Congressional Republicans have opted for. As it turns out, they didn’t need to do anything at all, because things were on the way to getting worse without any assistance.

Not only are we looking at huge numbers of people removed from Medicaid and Medicare, combined with rising costs for Health Insurance obtained through the Affordable Care Act Marketplace, thanks to the new Congressional Budget Bill…but, according to a new study, more than half of American Employers are planning to pass rising costs of Health Insurance on to Employees.

Even if you’re lucky enough not to see a bigger bite taken from your paycheck, you might be one of the fortunate many who can expect to see higher Deductibles and/or Out-of-Pocket Maximums. Of course, there’s no guarantee you won’t see those increased costs even if you’re also experiencing higher Premiums.

Apparently, this is because the Employer-Paid portion of Health Insurance is expected to increase by 6% next year, after a 4.5% increase last year. Naturally, the Employee is the one who should shoulder that cost.

And the Insurance Companies are blaming it on increased Healthcare Costs (ignoring the rampaging elephant in the room, that the existence of Insurance Companies is a major driver behind those increased costs). Of course, they’re also pointing the finger at the popularity of expensive GLP-1 medications used for weight loss. Naturally, as should surprise literally no one, fewer Insurance Companies will be covering GLP-1 drugs next year. And, to maintain their year-over-year Profit Margins, they’re likely to stop covering a lot of things people have come to expect and depend on. So, as we should have learned from “Shrinkflation” in virtually every other industry, we look forward to paying more for less.

And all of this comes about as a new report indicates one in three Americans live in a “Healthcare Desert” where people lack access to vital services such as Pharmacies, Trauma Care, and Primary Care Physicians.

That’s not altogether shocking. After all, roughly 150 rural hospitals have closed their doors in the last 20 years…and the odds are good that more will be following suit. It’s still horrible to imagine that an estimated 28 Million Americans live more than 30 minutes from the nearest hospital, and that about 50 Million live more than an hour from a Trauma Center. This is only going to get worse as a byproduct of the Congressional Budget Bill, because $10 Billion a year (to be distributed between all 50 States) for rural hospitals isn’t going to go half as far as GOP Senators think…or at least not as far as they suspect their supporters are stupid enough to believe it will. I opted to amend that because I’m sure the Senators knew exactly what they were doing, and they simply didn’t care.

As the cost of Healthcare goes up, the ability to access it is going down.

I’d sincerely like to hear someone answer the same question proponents of Single-Payer Healthcare are always being badgered with.

“How can we afford this?”

The Truth About Medicaid, Medicare, & Other Fraud: It’s Not What You Think

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It has always seemed obvious to me that if people want to know where Medicare and Medicaid Fraud come from, they need to stop looking for illegal recipients. It isn’t as simple as some might think to defraud programs like SNAP, Social Security, Medicare, and Medicaid by filling out an application with false information.

I don’t know why it bears mentioning, but neither Medicaid nor Medicare provides Beneficiaries with cash. They operate as a substitute for Health Insurance. That might come as a surprise for those of you who have never needed to use one of these programs. So, even if someone successfully applies via Fraud, they aren’t lining their pockets at the expense of Taxpayers.

Even if someone manages to obtain Medicare or Medicaid coverage through fraudulent means, what happens then? In the worst-case scenario, they would obtain medical treatment that they otherwise could not have received. Let’s assume it’s the most expensive surgical procedure from 2024, which is a Heart Transplant. At the most expensive rate, that would cost Medicare or Medicaid $1.3 Million, assuming it would cover the surgery in the first place. It would require more than 38,000 people receiving fraudulently obtained Heart Transplants to equal the $50 Billion House Speaker Mike Johnson claimed was lost to Fraud, Waste, and Abuse of Medicaid each year. If that seems absurd to you, you’re absolutely correct.

Just last week, CVS Health’s Omnicare (pharmacy services for long-term care & senior living communities) was found guilty of fraudulently billing the U.S. Government for invalid Medicare, Medicaid, and Tricare Prescriptions and ordered to pay $948.8 Million in penalties & damages. A massive $406.8 Million of that was for Damages, which were tripled as per the False Claims Act.

All of this came about because a Whistleblower brought attention to more than three million false claims between 2010 and 2018.

In 2021, the average Medicare Spending per Beneficiary was only a little over $15,000. To put that in perspective, it means the Fraud committed by CVS translated into the equivalent of the total annual spending for just under 9,000 Beneficiaries, or just under 1,000 Beneficiaries each year for which CVS was found Guilty of the illegal billing.

And this is just the Fraud from one Corporation. I can assure you that they are not alone.

One thing that people need to understand is that Improper Medicaid payments are not the same as Fraud. It’s a challenge for some people to wrap their heads around that distinction because certain individuals have played fast and loose with conflating the two things…because it suits their agenda.

According to the Centers for Medicare & Medicaid Services, Improper Payments made up only 5.09% of the total payments made by Medicaid in 2024. Of that 5.09%, roughly 80% (or 4.07% of the Total) were caused by missing documentation that would determine whether a payment was correct or incorrect, and payments that went to the right Providers in the right amounts, but that may not have complied with some regulations or statutes. In all of those cases, if the paperwork had been correct, they wouldn’t even factor into these numbers, because the payments wouldn’t have been classified as Improper or because they wouldn’t have been issued in the first place.

It’s the remaining 20% of that 5.09% where we find people who weren’t eligible for Medicaid. But it is also where we locate the individuals who were eligible but received a service that wasn’t covered.

So, while all of these 5.09% of Improper Payments count as Monetary Loss, they do not constitute Fraud. All of the Fraud falls into the minuscule 1.02% of the Total Payments.

Yes, we should be combating Fraud, but it’s not the Beneficiaries of Medicaid and Medicare who are the criminals, guilty of committing the vast majority of Fraud; it’s Ambulance Services, Pharmacies, Nursing Homes, and other Providers who have utilized creative bookkeeping and manipulation of the system. The victims are the Beneficiaries, Legitimate Providers, and Taxpayers alike.

Fighting Fraud doesn’t involve cutting funding for Medicaid, and it won’t have any impact on the rate of Improper Payments, because the Beneficiaries were never the primary Source of them.

What I hate more than anything is that this is ultimately yet another dog whistle for anti-immigration proponents. I’m not going to use Undocumented as a descriptor here, because we’ve all heard the plan, shared far and wide wherever cameras are rolling, that the Trump Administration intends to strip Documented Status from Immigrants, including those who are Citizens. It was never about doing it the right way; it was about being the right ethnic makeup, which is why there was so much support from people who believe in “The Great Replacement” myth.

Across the years 2021, 2022, and 2023, Wyoming and South Carolina were the two states with the highest rates of Improper Medicaid Payments (at 20.7 and 20.5% respectively), with Delaware, Connecticut, and Idaho following close behind. As you might notice, none of these five states are among the most populated, and none of them are near the top of the list of states with the largest immigrant populations.

California, New York, New Jersey, Florida, and Nevada are the states with the largest immigrant populations, yet they all fell below a rate of 9% during those three years.

So, people need to stop pretending this is even remotely connected with our Border Policy or Immigration Statistics, because there isn’t even a Correlation to mistake for Causality.

House and Senate Republicans upheld their promise not to tamper with Medicare as far as work and age Eligibility Requirements were concerned when drafting the 2025 Congressional Budget Bill. However, Eligibility for certain Immigrant groups will be impacted, as some Non-Citizens who were previously Eligible as Permanent Residents of the U.S. for at least five consecutive years will lose coverage 18 months after the Legislation is passed.

Medicaid, however, was far from off-limits to Congressional Republicans…and where they have tampered with Medicaid and other health coverage through the ACA, it could have dramatic and widespread impacts on healthcare systems across the nation.

Medicaid is funded through a combination of Federal and State Taxes, with roughly 70% of that funding coming from the Federal Budget. States often derive a significant amount of their funding through Provider Taxes, which are taxes paid by Health Care Providers (hospitals, nursing homes, and the like). The House version of the Congressional Budget Bill would have prohibited States from creating new Provider Taxes or increasing the current percentages paid by Providers, which are capped at 6%. The Senate version, however, gradually decreases that percentage to 3.5% by 2031, but only for the 40 States (and the District of Columbia) that employed Medicaid Expansion under the Affordable Care Act, leaving exceptions in place for nursing homes and intermediate care facilities.

This will dramatically decrease the amount of matching funds paid by Federal Taxes, creating a bit of a double-whammy on States that are being penalized for adopting Medicaid Expansion.

The concern here is that States will almost certainly have to make dramatic cuts to Medicaid as a result of the lost revenue, further cutting the number of people covered or the amount paid to Providers.

Of course, there’s also the addition of out-of-pocket expenses for Medicaid enrollees, as a $35 co-pay will be required for some services (again, only in States with expanded Medicaid) for individuals with an annual income of more than $15,650 (Federal Poverty Level). The Senate did add allowances for States to charge an even greater co-pay for Emergency Room visits for Non-Emergencies. The silver lining is that the co-pay policy doesn’t apply to primary care, mental health, or substance abuse services.

Access to insurance coverage through the Affordable Care Act marketplace is about to become more challenging as well. It will also be more expensive as enhanced subsidies are scheduled to expire at the end of 2025, which could result in some costs for ACA insurance coverage increasing by an average of 75%. I don’t know how many people can afford to see their Insurance Premiums go up by 75%, but I would be irate if it were happening to me.

Hundreds of thousands of Lawfully Present Immigrants are likely to lose insurance coverage through the ACA, because additional subsidies that keep those costs down will also be expiring.

All of this is devastating at a time when hospitals and medical facilities across the country are already facing massive budget shortfalls. Part of that comes from Medicaid and Medicare payments not being sufficient to keep pace with rising operating costs. Those skyrocketing operating costs are partially derived from administrative expenses produced by Insurance Companies, due to prior authorizations and the appeals associated with denials.

According to a report from the American Hospital Association last September, administrative costs alone accounted for more than 40% of the average hospital’s total expenses. Not only does the Commercial Insurance Industry delay and often deny necessary care for patients, but it also dramatically increases the costs for Providers to operate in the first place, which leads to increased costs for the rest of us. Of course, the Industry is thriving as a whole, with many Insurance Companies seeing record profits year after year.

You may notice some disdain for Insurance Providers, and that’s something I’m entirely conscious of. I’ve experienced frustration regarding the predatory practices of the for-profit Insurance Industry while researching their standards, profit margins, and actions.

What we’re likely to see if the House and Senate Republicans have their way, in addition to fewer people being covered by Medicaid (and health insurance in general), is staffing cuts at Providers or (in the worst case) closures. This is most likely to happen in areas where the population is lowest, impacting rural Providers more than those in urban areas…though the impacts would still be massive there as well.

Because of this, Senators added a $50 Billion fund ($10 Billion annually) to the Congressional Budget Bill, insulating rural hospitals from some of the worst impacts. The House version of the bill would have allowed rural hospitals that closed between 2014 and 2021 to reopen under the Rural Emergency Hospital designation, which allows Medicare to provide them with a potential lifeline. This could have been good, since 146 hospitals in rural counties closed between 2005 and 2023. The Senate, unfortunately, included no provision to reopen those hospitals under the retroactive designation.

So, there are some small bits of good mixed in with the bad aspects of that portion of the new budget, but none of those “good” things would be quite as necessary if it weren’t for all of the “bad” aspects of the Congressional Budget Bill. And altogether too much of that “bad” is tied up in transparent bigotry directed toward Immigrants, and the false claims that they are responsible for Fraud in the Medicaid and Medicare systems, along with the other things people often refer to as “entitlements.” Of course, while focusing on Legislation to further disenfranchise already disenfranchised people, the same Lawmakers are providing additional handouts to Corporations, the actual sources of Fraud, Waste, and Corruption.