Institute on Taxation and Economic Policy (ITEP)

September 4, 2026

Critical Public Health: Fiscal Reform Under the “One Big Beautiful Bill” and It’s Public Health Implications

ITEP Staff

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The ‘One Big Beautiful Bill’ is framed by its proponents as the largest middle-class tax cut in U.S. history and a catalyst for economic growth. Yet, beneath the marketing of ‘jobs, tax cuts, and American prosperity’, the legislation conceals sweeping rollbacks of Medicaid, food assistance, education, reproductive care, and expanded immigration enforcement, alongside tax windfalls for venture capital and immigration enforcement.

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