Healthcare Bill Impact - The bill is unpopular with Americans, with polls showing Republicans "underwater" on the issue [8] - The bill includes Medicaid cuts that are expected to cause hospital closures and have real-world effects [5] - Republicans are budgeting for people to be kicked off Medicaid to pay for tax cuts [2][13][14] - Work requirements for Medicaid eligibility are included, but their effectiveness and factual basis are questioned [2][6][7] Economic and Fiscal Implications - The bill is expected to increase debt and deficit [3][5] - Republicans argue that continuing tax cuts are critical for economic growth [9] - Democrats are labeling the bill as a cut to healthcare with tax cuts for the rich, increasing the debt [12] - The bill lacks fundamental reform in the healthcare system, focusing on cuts rather than improving health outcomes [17][21] Political Landscape - Democrats are likely to win the House in the midterm elections, partly due to the unpopularity of the bill [11][12] - Republicans face the challenge of countering the Democrats' narrative that the bill takes away healthcare [10] - The bill started as a tax policy exercise but became a healthcare conversation, for which Republicans were unprepared [24]

From @WSJopinion: Why are today’s GOP work requirements weaker than those a Democratic president backed? write Phil Gramm and Michael Solon https://t.co/4ifj38RtIo ...