美国“大而美”法案被指劫贫济富，需要医保的美民众担忧倍增

Group 1: Tax and Spending Bill Overview - The U.S. House of Representatives passed a large tax and spending bill with a narrow margin of 218 votes in favor and 214 against, which was previously approved by the Senate [1] - President Trump is expected to sign the bill, which has been criticized by Democrats for reducing federal aid, increasing long-term debt, and providing tax cuts for the wealthy and large corporations [1][10] Group 2: Democratic Opposition - Democratic leaders, including House Minority Leader Hakeem Jeffries, strongly opposed the bill, labeling it as "big and ugly" and detrimental to vulnerable populations [2][4] - Concerns were raised about the potential loss of healthcare for millions, with estimates suggesting that nearly 12 million people could lose Medicaid coverage due to the bill [14] Group 3: Impact on Healthcare - The bill is expected to make significant cuts to the Medicaid program, which could lead to increased healthcare costs and loss of insurance for many Americans [14][21] - Local residents expressed fears about losing healthcare coverage, particularly for those with disabilities, as the bill raises eligibility thresholds for Medicaid [16][19] Group 4: Clean Energy Sector Concerns - The bill includes provisions that will end government support for wind and solar energy industries, imposing new taxes on future projects [24][30] - Industry leaders warn that the bill could lead to significant job losses in the clean energy sector, with estimates suggesting that over 50 employees at a solar company may lose their jobs due to the new tax regulations [24][26] Group 5: Broader Economic Implications - Analysts predict that up to 72% of planned wind and solar projects in the U.S. could be shelved as a result of the new legislation, which may lead to higher energy bills for consumers and weaken the U.S.'s position in global energy competition [31][29]