GOP's proposed legislation, dubbed 'One Big Beautiful Bill', poses a significant threat to New York's health care system, financial structure, and economy, according to an opinion piece.

GOP's proposed legislation, dubbed 'One Big Beautiful Bill', poses a significant threat to New York's health care system, financial structure, and economy, according to an opinion piece.

The recently passed "One Big Beautiful Bill" signed into law by President Trump on July 4, 2025, has the potential to significantly affect New York's health care system, budget, and economy.

## Health Care System

The bill includes substantial cuts to health care and nutrition programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP). These reductions could lead to increased numbers of uninsured individuals, placing additional strain on New York's healthcare infrastructure, particularly in low-income communities.

Moreover, the lack of federal funds for Medicaid could result in higher healthcare costs within the state, potentially leading to increased taxes or reduced services within the state's health care system.

## Budget

The cuts to Medicaid and other programs could result in reduced federal funding for New York, necessitating the state to either increase local taxes or reduce spending on other essential services. Furthermore, the impact on the federal budget, including increased deficits, could influence interest rates and economic stability, indirectly affecting New York's budget planning and financial management.

## Economy

On a positive note, the bill extends most of the 2017 Tax Cuts and Jobs Act provisions, which could lead to increased economic growth. This growth could benefit New York's economy by stimulating business investment and job creation.

The bill also includes provisions for infrastructure development, which could enhance New York's economic competitiveness by improving transportation and communication systems.

Additionally, the temporary increase in the State and Local Tax (SALT) deduction cap from $10,000 to $40,000 could benefit high-tax states like New York, potentially reducing the tax burden on residents and improving economic conditions in the short term.

## Potential Consequences

If passed, the bill could make more than 1.5 million New Yorkers uninsured, with around 225,000 lawfully present New York residents with slightly higher incomes losing coverage entirely. Furthermore, the bill could leave three million New Yorkers at risk of losing SNAP benefits, potentially causing another $2.1 billion annual hole in the state budget.

Senate Republicans have called for even deeper cuts to Medicaid than House Republicans, with estimates suggesting these cuts will lead to over 42,000 excess deaths annually.

It's important to note that the long-term impact of the bill will depend on how these provisions are implemented and how New York chooses to manage its budget and health care system in response.

In the House vote on May 22, all New York Republican members of Congress, except Rep. Andrew Garbarino, voted in favor of cutting public health coverage for seniors, people with disabilities, and low-income children and families in their districts. The bill passed by a one-vote margin, but none of the seven New York Republican members of Congress stopped it.

As the bill returns to the House, New York's seven Republican members of Congress will have a second chance to stand up for New York and protect the state and their constituents from these devastating cuts. It remains to be seen whether they will seize this opportunity.

1. The "One Big Beautiful Bill" could impact the science behind creating effective workplace-wellness programs, as reduced funding for Medicaid might affect access to health screenings and preventative care.
2. The bill's cuts to nutrition programs could lead to increased prevalence of medical conditions related to malnutrition, including chronic diseases and digestive health issues.
3. The reduced federal funds for Medicaid might cause an increase in the number of people with cancer, respiratory conditions, and eye-health issues, as they may not be able to afford early detection and treatments.
4. Hearing impairment could become more prevalent due to reduced access to healthcare services for low-income individuals, as a result of the bill's cuts to Medicaid.
5. health-and-wellness initiatives focusing on fitness-and-exercise, sexual-health, and skin-care might experience setbacks due to decreased funding for such programs.
6. Autoimmune disorders, mental-health issues, and men's health could also face challenges, as the bill's cuts to Medicaid could limit access to healthcare services and therapies-and-treatments.
7. The lack of federal funding for Medicaid could potentially exacerbate aging-related health issues, as older adults may not be able to afford necessary treatments and therapies.
8. womens-health concerns, such as reproductive health and pregnancies, could be negatively affected by the cuts to Medicaid, which traditionally provides support to women and children.
9. The bill's impact on parenting could be significant, as reduced access to healthcare services and nutrition programs could compromise the health of parents and children.
10. The bill might lead to weight-management issues, as the lack of federal funds for nutrition programs could limit access to healthy food options.
11. Cardiovascular-health could be affected by the bill's reductions to Medicaid, as individuals may not be able to afford necessary screenings and treatments.
12. The bill's potential effects on Medicare could lead to increased stress and anxiety, impacting mental-health in elderly populations.
13. The increased strain on New York's healthcare system could exacerbate neurological-disorders, such as Alzheimer's disease and Parkinson's disease.
14. The bill's cuts to healthcare programs could cause an increase in skin-conditions, as individuals may not be able to afford necessary treatments.
15. Migration due to the bill's impact on the health care system, budget, and economy could potentially increase, as individuals seek better opportunities and healthcare in other regions.
16. War-and-conflicts could become more prevalent if the bill leads to increased economic instability, as nations compete for resources.
17. The bill's effects on policy-and-legislation could have long-lasting impacts, shaping the future of America's healthcare system and the well-being of its citizens.
18. In car-accidents, fires, and other emergencies, the bill's impacts on the healthcare system could delay necessary treatments, potentially leading to increased morbidity and mortality.

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