Republicans have always been preternaturally obsessed with tax breaks for the filthy rich. But this time they are taking away healthcare from millions so that broligarchs like Jeff Bezos can have even more lavish weddings.
Nearly 12 million estimated to lose health coverage under Trump budget bill
Sign of the Day - Boston again… another great overpass banner sign there….
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LETTERS FROM AN AMERICAN
June 4, 2025
Heather Cox Richardson
Jun 04, 2025
Just hours after President Donald J. Trump posted on social media yesterday that “[b]ecause of Tariffs, our Economy is BOOMING!” a new report from the Organization for Economic Cooperation and Development (OECD) said the opposite. Founded in 1961, the OECD is a forum in which 38 market-based democracies cooperate to promote sustainable economic growth.
The OECD’s economic outlook reports that economic growth around the globe is slowing because of Trump’s trade war. It projects global growth slowing from 3.3% in 2024 to 2.9% in 2025 and 2026. That economic slowdown is concentrated primarily in the United States, Canada, Mexico, and China.
The OECD predicts that growth in the United States will decline from 2.8% in 2024 to 1.6% in 2025 and 1.5% in 2026.
The nonpartisan Congressional Budget Office (CBO) released two analyses today of Trump’s policies that add more detail to that report. The CBO’s estimate for the effect of Trump’s current tariffs—which are unlikely to stay as they are—is that they will raise inflation and slow economic growth as consumers bear their costs. The CBO says it is hard to anticipate how the tariffs will change purchasing behavior, but it estimates that the tariffs will reduce the deficit by $2.8 trillion over ten years.
Also today, the CBO’s analysis of the Republicans’ “One Big, Beautiful Bill” is that it will add $2.4 trillion to the deficit over the next decade because the $1.2 trillion in spending cuts in the measure do not fully offset the $3.7 trillion in tax cuts for the wealthy and corporations. Republicans have met this CBO score with attacks on the CBO, but its estimate is in keeping with those of a wide range of economists and think tanks.
Taken together, these studies illustrate how Trump’s economic policies are designed to transfer wealth from consumers to the wealthy and corporations. From 1981 to 2021, American policies moved $50 trillion from the bottom 90% of Americans to the top 1%. After Biden stopped that upward transfer, the Trump administration is restarting it again, on steroids.
Just how these policies are affecting Americans is no longer clear, though. Matt Grossman of the Wall Street Journal reported today that economists no longer trust the accuracy of the government’s inflation data. Officials from the Bureau of Labor Statistics, which compiles a huge monthly survey of employment and costs, told economists that staffing shortages and a hiring freeze have forced them to cut back on their research and use less precise methods for figuring out price changes. Grossman reports that the bureau has also cut back on the number of places where it collects data and that the administration has gotten rid of committees of external experts that worked to improve government statistics.
There is more than money at stake in the administration’s policies. The administration's gutting of the government seeks to decimate the modern government that regulates business, provides a basic social safety net, promotes infrastructure, and protects civil rights and to replace it with a government that permits a few wealthy men to rule.
The CBO score for the Republicans’ omnibus bill projects that if it is enacted, 16 million people will lose access to healthcare insurance over the next decade in what is essentially an assault on the Affordable Care Act, also known as Obamacare. The bill also dramatically cuts Supplemental Nutrition Assistance Plan (SNAP) benefits, clean energy credits, aid for student borrowers, benefits for federal workers, and consumer protection services, while requiring the sale of public natural resources.
These cuts continue those the administration has made since Trump took office, many of which fell under the hand of the “Department of Government Efficiency.” But, while billionaire Elon Musk was the figurehead for that group, it appears his main interest was in collecting data. His understudy, Office of Management and Budget director Russell Vought, appears to have determined the direction of the cuts, which did not save money so much as decimate the parts of the government that the authors of Project 2025 wanted to destroy.
Vought was a key author of Project 2025, whose aim is to disrupt and destroy the United States government in order to center a Christian, heteronormative, male-dominated family as the primary element of society. To do so, the plan calls for destroying the administrative state, withdrawing the United States from global affairs, and ending environmental and business regulations.
Yesterday the White House asked Congress to cancel $9.4 billion in already-appropriated spending that the Department of Government Efficiency identified as wasteful, a procedure known as “rescission.” Trump aides say the money funds programs that promote what they consider inappropriate ideologies, including public media networks PBS and NPR; the United States Agency for International Development (USAID), which provides food and basic medical care globally; and PEPFAR, the U.S. President's Emergency Plan for AIDS Relief that was established under President George W. Bush to combat HIV/AIDS in more than 50 countries and is currently credited with saving about 26 million lives.
Vought appeared today before the House Appropriations Committee, where members scolded him for neglecting to provide a budget for the year, which they need to do their jobs. But Vought had plenty to say about the things he is doing. According to ProPublica’s Andy Kroll, he claimed that under Biden “every agency became a tool of the Left.” He said the White House will continue to ask for rescissions, but also noted that, as Project 2025 laid out, he does not believe that the 1974 Impoundment Control Act, which requires the executive branch to spend the money that Congress has appropriated, is constitutional, despite court decisions saying it is.
Representative Rosa DeLauro (D-CT) told Vought: “Be honest, this is never about government efficiency. In fact, an efficient government, a government that capably serves the American people and proves good government is achievable is what you fear the most. You want a government so broken, so dysfunctional, so starved of resources, so full of incompetent political lackeys and bereft of experts and professionals that its departments and agencies cannot feasibly achieve the goals and the missions to which they are lawfully directed. Your goal is privatization, for the biggest companies to have unchecked power, for an economy that does not work for the middle class, for working and vulnerable families. You want the American people to have no one to turn to, but to the billionaires and the corporations this administration has put in charge. Waste, fraud, and abuse are not the targets of this administration. They are your primary objectives.”
The use of the government to impose evangelical beliefs on the country, even at the expense of lives, also appears to be an administration goal. Yesterday, the administration announced it is ending the Biden administration’s 2022 guidance to hospital emergency rooms that accept Medicare—which is virtually all of them—requiring that under the Emergency Medical Treatment and Active Labor Act they must perform an abortion in an emergency if the procedure is necessary to prevent a patient’s organ failure or severe hemorrhaging. The Emergency Medical Treatment and Active Labor Act requires emergency rooms to stabilize patients.
The Trump administration will no longer enforce that policy. Last year, an investigation by the Associated Press found that even when the Biden administration policy was being enforced, dozens of pregnant women, some of whom needed emergency abortions, were turned away from emergency rooms with advice to “let nature take its course.”
Finally tonight, in what seems likely to be an attempt to distract attention from the omnibus bill and all the controversy surrounding it, Trump banned Harvard from hosting foreign students. He also banned nationals from a dozen countries—Afghanistan, Chad, Republic of Congo, Equatorial Guinea, Eritrea, Haiti, Iran, Libya, Myanmar, Somalia, Sudan, and Yemen—from entering the United States, an echo of the travel ban of his first term that threw the country into chaos.
Trump justified his travel ban by citing the attack Sunday in Boulder, Colorado, on peaceful demonstrators marching to support Israeli hostages in Gaza. An Egyptian national who had overstayed a tourist visa hurled Molotov cocktails at the marchers, injuring 15 people.
Egypt is not on the list of countries whose nationals Trump has banned from the United States.
How CBO Analyzes the Costs of Proposals for Single-Payer Health Care Systems That Are Based on Medicare’s Fee-for-Service Program: Working Paper 2020-08
In yesterday’s essay, I broke down the new series from The American Prospect on the hidden ideology and power of budget models, these being complex statistical systems for weighing legislative proposals to determine if they are “economically sound.” The assumptions baked into these models are intensely political, and, like all dirty political actors, the model-makers claim they are “empirical” while their adversaries are “doing politics”:
If you’d like an essay-formatted version of this post to read or share, here’s a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
Today edition of the Prospect continues the series with an essay by Elizabeth Warren, describing how her proposal for universal child care was defeated by the incoherent, deeply political assumptions of the Congressional Budget Office’s model, blocking an important and popular policy simply because “computer says no”:
When the Build Back Better bill was first mooted, it included a promise of universal, federally funded childcare. This was excised from the final language of the bill (renamed the Bipartisan Infrastructure Bill), because the CBO said it would cost too much: $381.5b over ten years.
This is a completely nonsensical number, and the way that CBO arrived at it is illuminating, throwing the ideology of CBO modeling into stark relief. You see, the price tag for universal childcare did not include the benefits of childcare!
As Warren points out, this is not how investment works. No business leader assesses their capital expenditures without thinking of the dividends from those investments. No firm decides whether to open a new store by estimating the rent and salaries and ignoring the sales it will generate. Any business that operates on that basis would never invest in anything.
Universal childcare produces enormous dividends. Kids who have access to high-quality childcare grow up to do better in school, have less trouble with the law, and earn more as adults. Mothers who can’t afford childcare, meanwhile, absent themselves from the workforce during their prime earning years. Those mothers are less likely to advance professionally, have lower lifetime earnings, and a higher likelihood of retiring without adequate savings.
What’s more, universal childcare is the only way to guarantee a living wage to childcare workers, who are disproportionately likely to rely on public assistance, including SNAP (AKA food stamps) to make ends meet. These stressors affect childcare workers’ job performance, and also generate public expenditures to keep those workers fed and housed.
But the CBO model does not include any of those benefits. As Warren says, in a CBO assessment, giving every kid in America decent early childhood care and every childcare worker a living wage produces the same upside as putting $381.5 in a wheelbarrow and setting it on fire.
This is by design. Congress has decreed that CBO assessments can’t factor in secondary or indirect benefits from public expenditure. This is bonkers. Public investment is all secondary and indirect benefits — from highways to broadband, from parks to training programs, from education to Medicare. Excluding indirect benefits from assessments of public investments is a literal, obvious, unavoidable recipe for ending the most productive and beneficial forms of public spending.
It means that — for example — a CBO score for Meals on Wheels for seniors is not permitted to factor in the Medicare savings from seniors who can age in their homes with dignity, rather than being warehoused at tremendous public expense in nursing homes.
It means that the salaries of additional IRS enforcers can only be counted as an expense — Congress isn’t allowed to budget for the taxes that those enforcers will recover.
And, of course, it’s why we can’t have Medicare For All. Private health insurers treat care as an expense, with no upside. Denying you care and making you sicker isn’t a bug as far as the health insurance industry is concerned — it’s a feature. You bear the expense of the sickness, after all, and they realize the savings from denying you care.
But public health programs can factor in those health benefits and weigh them against health costs — in theory, at least. However, if the budgeting process refuses to factor in “indirect” benefits — like the fact that treating your chronic illness lets you continue to take care of your kids and frees your spouse from having to quit their job to look after you — then public health care costings become indistinguishable from the private sector’s for-profit death panels.
Child care is an absolute bargain. The US ranks 33d out of 37 rich countries in terms of public child care spending, and in so doing, it kneecaps innumerable mothers’ economic prospects. The upside of providing care is enormous, far outweighing the costs — so the CBO just doesn’t weigh them.
Warren is clear that there’s no way to make public child care compatible with CBO scoring. Even when she whittled away at her bill, excluding millions of families who would have benefited from the program, the CBO still flunked it.
The current budget-scoring system was designed for people who want to “shrink government until it fits in a bathtub, and then drown it.” It is designed so that we can’t have nice things. It is designed so that the computer always says no.
Warren calls for revisions to the CBO model, to factor in those indirect benefits that are central to public spending. She also calls for greater diversity in CBO oversight, currently managed by a board of 20 economists and only two non-economists — and the majority of the economists got their PhDs from the same program and all hew to the same orthodoxy.
For all its pretense of objectivity, modeling is a subjective, interpretive discipline. If all your modelers are steeped in a single school, they will incinerate the uncertainty and caveats that should be integrated into every modeler’s conclusions, the humility that comes from working with irreducible uncertainty.
Finally, Warren reminds us that there are values that are worthy of consideration, beyond a dollars-and-cents assessment. Even though programs like child care pay for themselves, that’s not the only reason to favor them — to demand them. Child care creates “an America in which everyone has opportunities — and ‘everyone’ includes mamas.” Child care is “an investment in care workers, treating them with respect for the hard work they do.”
The CBO’s assassination of universal child care is exceptional only because it was a public knifing. As David Dayen and Rakeen Mabud wrote in their piece yesterday, nearly all of the CBO’s dirty work is done in the dark, before a policy is floated to the public:
The entire constellation of political possibility has been blotted out by the CBO, so that when we gaze up at the sky, we can only see a few sickly stars — weak economic nudges like pricing pollution, and not the glittering possibilities of banning it. We see the faint hope of “bending the cost-curve” on health care, and not the fierce light of simply providing care.
We can do politics. We have done it before. Every park and every highway, our libraries and our schools, our ports and our public universities — these were created by people no smarter than us. They didn’t rely on a lost art to do their work. We know how they did it. We know what’s stopping us from doing it again. And we know what to do about it.
Have you ever wanted to say thank you for these posts? Here’s how you can: I’m kickstarting the audiobook for my next novel, a post-cyberpunk anti-finance finance thriller about Silicon Valley scams called Red Team Blues. Amazon’s Audible refuses to carry my audiobooks because they’re DRM free, but crowdfunding makes them possible.
[Image ID: A disembodied hand, floating in space. It holds a Univac mainframe computer. The computer is shooting some kind of glowing red rays that are zapping three US Capitol Buildings, suspended on hovering platforms. In the background, the word NO is emblazoned in a retrocomputing magnetic ink font, limned in red.]
https://www.cbo.gov/interactive/2025-reconciliation-act How the 2025 Reconciliation Act (Public Law 119-21) Will Affect the Distribution of Resources Available to Households | Congressional Budget Office
CBO's interactive tool allows users to explore how the 2025 reconciliation act (P.L. 119-21) will affect the economic resources available to
Yulia Navalnaya has vowed to continue her husband’s work to fight for a “free Russia,” Credit: EPA
In the days following her husband Alexei Navalny’s death in a Russian prison colony on 16 February, Yulia Navalnaya has picked up his mantle as a prominent critic of President Vladimir Putin. Speaking to European lawmakers and students from across the continent in Strasbourg, Ms. Navalnaya called…