美国至多将有1200万人失去医保

Group 1 - The "Big and Beautiful" bill passed by the U.S. Congress plans to cut approximately $1 trillion in federal spending over the next 10 years and implement significant reforms to the Medicaid program, potentially resulting in 10.9 million to 12 million people losing health insurance coverage [1] - The bill extends and makes permanent the tax reform policies from 2017, while providing funding for priority projects such as defense, immigration enforcement, and border security [1] - The Congressional Budget Office (CBO) estimates that the Medicaid cuts could save about $800 billion to $1 trillion from the federal budget, with the number of people losing insurance expected to increase from 10.9 million to 11.8 million by 2034 due to adjustments in the bill [1] Group 2 - The bill includes some concessions, such as establishing a special fund for rural hospitals to alleviate healthcare pressures in certain regions, but significant partisan divisions remain within both the House and Senate [2] - The financial pressure on hospitals and other healthcare providers may lead to layoffs, reduced investment in quality improvements, and even the closure of more rural hospitals [2] - Concerns have been raised that the loss of Medicaid coverage will not only worsen health conditions for affected families but also lead to high medical costs and debt [2] Group 3 - Senator Maggie Hassan criticized the bill as one of the largest dismantling of healthcare protections in history, arguing that it is designed to prepare for tax cuts for billionaires [3]