All posts tagged: One Big Beautiful Bill

What the New Deal Can Teach Today’s Public Power Campaigns | Sandeep Vaheesan

What the New Deal Can Teach Today’s Public Power Campaigns | Sandeep Vaheesan

In the United States today, officials at all levels of government generally act as if private enterprise is the only way to provide goods and services. Yet a bastion of public ownership survives: more than a quarter of electricity customers—including the residents of Los Angeles, Omaha, San Antonio, Seattle, Jacksonville, and Tupelo, along with tens of millions of other people—get their power from one of the country’s more than 2,500 publicly owned utilities and rural electric cooperatives. Mostly established in the first half of the twentieth century, these institutions have a long record of offering reliable service at affordable rates; even today, publicly owned utilities charge less and resolve outages faster on average than their investor-owned counterparts. Creating more like them, however, has been extraordinarily difficult. Since the 1940s, few communities have successfully taken control of their private utilities; one such example is the city of Massena, New York, which waged a seven-year political and legal fight before taking over its power grid from Niagara Mohawk in 1981. Residents immediately saw their bills go down …

Medicaid Undone | Adam Gaffney

Medicaid Undone | Adam Gaffney

One year ago President Donald Trump promised to “love and cherish” Medicaid. Alas, his affection for the public insurance program was short-lived. The so-called One Big Beautiful Bill Act (OBBA) he signed into law on July 4—the most sweeping health care legislation since Barack Obama’s 2010 Affordable Care Act (ACA)—slashes about $1 trillion in federal health care spending, mostly from Medicaid, over the coming decade. The spending reductions fund tax cuts for the wealthy and a surge in spending on immigration enforcement. As an ICU physician at a safety-net hospital system that largely serves publicly insured, low-income communities north of Boston, I may see some of the effects of the law’s cuts firsthand. Around half of our system’s gross patient revenue comes from Medicaid, which covers more than 70 million Americans. What these cuts will mean for hospitals like mine is uncertain: some providers could face severe financial strain or even closure if Medicaid revenues plunge. But for Medicaid enrollees themselves, there is little doubt that the cuts will translate into inadequate care, increased debt, …