Medicaid, the BBB, and Obama’s revenge
Politics
July 9, 2025

Medicaid, the BBB, and Obama’s revenge

It’s reasonable to view the angry debate over the Medicaid provisions of the recently signedinto- law One Big Beautiful Bill Act, with Democrats accusing President Donald Trump and Republicans of taking away healthcare from millions of people, as the inevitable result of the scheme that then-President Barack Obama and Democrats set in motion in 2010. Back then, many in the party wanted to create a single-payer national healthcare system but did not have the political support to do so. So Democratic leaders debated among themselves about how to get as far as they could with their existing (big) majorities in the House and Senate.

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