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The Political Prism

Celebrating diverse political perspectives and viewpoints.

How the New GOP Budget Will Kill Tens of Thousands of Americans

5 min read1 day ago

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A generated image of faces representing the kinds of people who will suffer from Trump’s One Big Beautiful Bill Act budget.
The Faces of the Desperate, courtesy of ChatGPT 4o

The House of Representatives narrowly passed the “One Big Beautiful Bill Act” this week — President Trump’s second-term showpiece. With great fanfare, it promises to make the 2017 tax cuts permanent, extend new deductions for high-income earners, and boost short-term take-home pay for select workers.

But behind the stagecraft and slogans lies a far grimmer reality. The budget does more than adjust the tax code — it guts the essential lifelines that sustain America’s most vulnerable citizens. Medicaid, food stamps, housing vouchers, and heating assistance are all slashed, not to balance the budget, but to fund yet more tax relief for the ultra-wealthy.

These cuts aren’t just policy preferences. They’re actually death sentences.

Table of estimated deaths, by program, resulting from budget cuts.
Total Estimated Annual Deaths: ~30,000 to 40,000 (conservative range)

Real people — parents, children, seniors — who rely on a threadbare safety net to survive in an economy that already punishes the working poor.

Medicaid: Millions will lose life-saving coverage

The most damaging provision in the bill imposes nationwide work requirements on adult Medicaid recipients without children. This echoes failed experiments in states like Arkansas, where thousands lost coverage because of confusing paperwork or inability to meet strict reporting requirements — despite being employed.

The nonpartisan Congressional Budget Office estimates that similar federal rules could strip Medicaid from 8 to 14 million people. This includes low-income workers, disabled individuals not officially classified as such, and caretakers.

According to a New England Journal of Medicine study, expanding Medicaid saves lives. It estimated that for every 455 people who gain Medicaid, one death is prevented each year. Applying that ratio in reverse, the GOP’s budget could result in 22,000 to 25,000 additional deaths per year from lost coverage.

These are not exaggerations. These are actuarial projections, based on peer-reviewed research, and grounded in evidence from states that have experimented with such policies. The reality is simple: without Medicaid, people don’t get cancer screenings. They don’t get insulin. They die waiting for help that will never arrive.

SNAP: Cutting food, increasing mortality

The Supplemental Nutrition Assistance Program (SNAP), formerly known as food stamps, will be cut by an estimated $290 billion over the next decade. The bill shifts 5% of benefit costs and 75% of administrative costs to states, while expanding work requirements for recipients up to age 64.

If implemented, the Urban Institute projects that 3 to 5 million individuals could lose access to food assistance.

The consequences are deadly. A 2014 study published in the Journal of Nutrition found that older Americans experiencing food insecurity are 50% more likely to die prematurely. Food insecurity also contributes to chronic diseases like diabetes and hypertension, especially in communities that already lack access to healthy groceries.

Public health researchers estimate the SNAP cuts could result in 3,000 to 5,000 additional deaths annually, disproportionately affecting children, seniors, and single-parent households.

Housing, heating, and health, the silent killers

The GOP budget doesn’t stop with Medicaid and SNAP. Other vital programs are being hollowed out:

  • Section 8 housing vouchers are reduced, risking the eviction of tens of thousands of low-income families. Research from the National Alliance to End Homelessness shows that homelessness increases mortality by up to 9 times. Experts estimate these housing cuts could lead to 1,000 to 2,000 excess deaths per year.
  • LIHEAP (Low-Income Home Energy Assistance Program) faces deep cuts, particularly cruel in northern states where heating is a necessity, not a luxury. The CDC already attributes over 1,300 deaths annually to cold exposure, many preventable with adequate heating assistance.
  • School meal programs are being restructured, reducing the reach of free breakfast and lunch to millions of children in low-income districts. Hunger and poor nutrition during early development lead to long-term health complications, contributing to 500 to 1,000 deaths per year over time.

Who benefits?

While tens of thousands may die as a result of these cuts, the benefits are heavily concentrated. According to the Tax Policy Center:

  • The top 0.1% of earners (incomes above $4 million) will receive average annual tax cuts exceeding $250,000.
  • The top 1% will receive over 50% of the total tax savings.
  • Middle-income earners see modest short-term gains, while low-income Americans lose far more in services than they gain in reduced taxes.

This is not tax reform — it’s tax reallocation. It shifts life-saving resources from the poor to pad the portfolios of those who already have more than enough.

This is a moral crisis

“Lo, I say unto you, inasmuch as ye have done it unto one of the least of these my brethren, ye have done it unto me.”
Matthew 25:40

Supporters of the bill argue that it promotes personal responsibility, encourages work, and reduces government dependency. But these arguments are being used to mask a brutal truth: this is a wealth transfer from the sick, the hungry, and the homeless to the wealthiest Americans — and it is being paid for in human lives.

The U.S. already has the lowest life expectancy among developed nations, and one of the highest poverty-related mortality rates. This budget will make both worse.

Call to action: say their names before it’s too late

The bill now moves to the Senate, where further revisions are possible. But time is short. If we believe that all lives have value — regardless of income, zip code, or political affiliation — we must act now.

  • Call your senators and ask them to vote “no” on a budget that trades lives for loopholes.
  • Share this article to spread awareness of what’s really at stake.
  • Ask the hard question: How many lives is a tax break worth?

Because behind every number in a spreadsheet is a human being. And no tax cut is worth a single preventable death — let alone forty thousand.

Author’s Plea:

If you are an American citizen, you can do something about this callous disregard for human suffering in your name — suffering caused by the economic dislocation resulting from the transfer of wealth from the middle and working classes to the top 0.1% on the wealth scale. The very people who stacked the economic deck in their own favor and will benefit from the tax breaks this bill will create.

This link is a the of all sitting U.S. Senators. Call yours and let them know how you feel about this — NOW — before time runs out. And if you really want to help, pass this article (it is not behind a paywall) along to your friends — and ask them to pass it on to theirs. It’s the ethical and moral thing to do. Time is short and lives are at stake!

The Political Prism
The Political Prism

Published in The Political Prism

Celebrating diverse political perspectives and viewpoints.

Dick Dowdell
Dick Dowdell

Written by Dick Dowdell

A former US Army officer with a wonderful wife and family, I’m a software architect and engineer, currently CTO and Chief Architect of a software company.