Healthcare Systems Comparison - Canada operates a publicly funded universal healthcare system, unlike the United States [2] - OECD countries, except the US, generally have universal or near-universal healthcare systems [6] - The US spends significantly more per capita on healthcare compared to other developed nations but often has worse outcomes [7] US Healthcare Programs - The Social Security Amendments of 1965 created Medicaid and Medicare [9] - Over 66 million people are on Medicare and 71 million are on Medicaid [11] - In 2023, the US uninsured rate reached a record low of 79% after the implementation of the Affordable Care Act (ACA) [13] Impact of the "One Big Beautiful Bill Act" - The Congressional Budget Office (CBO) estimates the bill will add $33 trillion to the national debt over a decade and could increase the number of uninsured people by 118 million [15] - Some estimate that Trump administration policies could push the number of uninsured people up to 17 million [16] - The bill shortens the annual ACA open enrollment period by about a month [17] - The bill includes provisions that require states with expanded Medicaid coverage to charge some enrollees up to $35 for some services [18] - The changes and cuts from the bill could lead to the closure of some of the country's 760 at-risk rural hospitals [18]