“大而美”法案获通过，特朗普赢得重大经济政策胜利！

Core Viewpoint - The article discusses the passage of a significant tax reform bill by the U.S. Congress, which is expected to provide funding for President Trump's domestic agenda while potentially resulting in millions of Americans losing health insurance [3][4]. Legislative Outcome - The bill passed in the House of Representatives with a narrow margin of 218 to 214 votes, marking a significant victory for President Trump [4][6]. - The legislation aims to fund immigration policies, make the 2017 tax cuts permanent, and fulfill new tax incentives promised during Trump's 2024 campaign [4][6]. Financial Implications - According to the Congressional Budget Office (CBO), the bill will increase the U.S. debt by $3.4 trillion, adding to the existing $36.2 trillion debt [5]. - The bill is projected to reduce tax revenue by $4.5 trillion over the next decade while cutting $1.1 trillion in spending, primarily affecting Medicaid, which covers 71 million low-income Americans [12]. - The changes in Medicaid are expected to result in nearly 12 million people losing their insurance [12]. Economic Impact - The bill is designed to lower taxes for all income levels and stimulate economic growth, with Republican leaders claiming it will benefit everyone [9]. - However, analysis indicates that the wealthiest Americans will benefit the most, while low-income individuals may see a decrease in actual income due to cuts in safety net programs exceeding tax benefits [14]. Debt and Credit Rating Concerns - The legislation raises the debt ceiling by $5 trillion, temporarily avoiding default risks, but concerns remain about the long-term economic stimulus effects and rising borrowing costs [16]. - Moody's has already downgraded the U.S. credit rating due to debt issues, and some foreign investors are expressing concerns about the attractiveness of U.S. Treasury bonds following this bill [15]. Political Dynamics - The bill is expected to become a significant topic in the 2026 midterm elections, with Democrats aiming to regain control of at least one chamber of Congress [19]. - Republican leaders argue that the tax cuts will boost the economy before the elections, while many Americans are worried about the bill's costs and its impact on low-income populations [19].