President Donald Trump on July 4 signed into law an omnibus reconciliation bill, branded in MAGA propaganda (and much of corporate media) as the “Big Beautiful Bill.” The legislation scraped up just enough votes to narrowly pass in both chambers of the Republican-controlled Congress, with 51 to 50 votes in the Senate and 218 to 214 in the House.

The focal point of the bill is a $4.5 trillion tax cut, partly paid for by unprecedented slashes in funding for healthcare and food assistance. The wealthiest 10% will gain $12,000 a year from the legislation, while it will cost the lowest-earning 10% of families $1,600 annually. Media addressed the fiscal aspects of the bill, though more often through a fixation on the federal debt rather than looking at the effect of the budget on inequality (FAIR.org, 7/17/25).

But it’s not just a question of money. Many of the bill’s key provisions—including Medicaid, SNAP and clean energy cuts, as well as handouts to the fossil fuel, military and detention industries—will be literally deadly for people in the US and abroad, in both the near and long term.

FAIR’s Belén Fernandez (7/9/25) closely examined the dramatic lack of coverage of the vast expansion of the government’s anti-immigrant capacities. But the deadly consequences of the other aspects of the bill were also remarkably underexplained to the public.

To see how major media explained the contents and consequences of the reconciliation bill to the public before its enactment, FAIR surveyed New York Times, Washington Post, CNN and NPR news coverage from the Senate’s passage of the final version of the bill on July 1 through July 4, the day Trump signed the bill into law. This time frame, when the actual contents of the bill were known and the House was deliberating on giving it an up or down vote, was arguably the moment when media attention was most critical to the democratic process.

‘We all are going to die’

While corporate media reported that the finalized bill with the Senate’s revisions would significantly cut healthcare funding to subsidize the tax breaks, they rarely explained the social consequences of such cuts. The Congressional Budget Office (CBO) estimates that the bill will reduce $1.04 trillion in funding for Medicaid, the Affordable Care Act and the Children’s Health Insurance Program over the next decade. This will strip health insurance from 11.8 million people.

The New York Times (7/1/25), acknowledging these statistics, quoted Democrats who opposed the bill due to “the harmful impact it will have on Medicaid,” and who noted that people will soon “see the damage that is done as hospitals close, as people are laid off, as costs go up, as the debt increases.”

But the outlets in our sample, at this crucial time of heightened attention, failed to mention the most significant consequence of cutting Medicaid: death.

These outlets (New York Times, 5/30/25; NPR, 5/31/25; CNN, 5/31/25;  Washington Post, 6/1/25) had all earlier acknowledged what the Times called Sen. Joni Ernst’s (R-IA) “morbid” response to her constituents’ concerns about deaths from Medicaid cuts: “Well, we all are going to die.”

But as the House deliberated on whether these cuts would become law, these outlets failed to reference credible research that projected that the large-scale loss of health insurance envisioned by the bill would have an annual death toll in the tens of thousands. One USA Today piece (7/1/25) did headline that “Trump’s Tax Bill Could Cut Medicaid for Millions of Americans,” but didn’t spell out the potential cost in human lives.

Before the Senate’s revisions, researchers from Yale’s School of Public Health and UPenn’s Leonard Davis Institute of Health Economics (Penn LDI, 6/3/25) projected that such massive cuts to healthcare would result in 51,000 deaths annually. That number is expected to be even higher now, as the calculation was based on an earlier CBO estimate of 7.7 million people losing coverage over the next decade (CBO, 5/11/25).

‘Harms to healthcare’—not to people

CNN (7/4/25), in a piece on “Who Stands to Gain From the ‘Big, Beautiful Bill.’ And Who May Struggle,” similarly failed to spell out the dire consequences of the Medicaid cuts. It wrote that low-income Americans would be “worse off” thanks to those cuts, yet it extensively described only the fiscal impacts, as opposed to the costs in life and health, on lower- and middle-class families.

Hospitals would also be “worse off” due to the bill, as it would “leave them with more uncompensated care costs for treating uninsured patients.” This rhetorically rendered the patient, made uninsured by legislation, a burden.

The article quoted American Hospital Association CEO Rick Pollack, who said that

the real-life consequences…will result in irreparable harm to our healthcare system, reducing access to care for all Americans and severely undermining the ability of hospitals and health systems to care for our most vulnerable patients.

But CNN refused to spell out to readers what that “harm to the healthcare system” would mean: beyond “reducing access,” it would cause people to die preventable deaths.

Outlets often seemed more concerned with the impact of the bill on lawmakers’ political survival than its impact on their low-income constituents’ actual survival. The Washington Post (7/4/25), though acknowledging that their poll revealed that “two-thirds [of Americans] said they had heard either little or nothing about [the bill],” made little or no effort to contribute to an informed public. Instead, it focused on analyzing the “Six Ways Trump’s Tax Bill Could Shape the Battle for Control of Congress.”

The New York Times (7/1/25) similarly observed that the Senate Republicans’ “hard-fought legislative win came at considerable risk to their party’s political futures and fiscal legacy.” In another article (7/1/25), they noticed that it was the “more moderate and politically vulnerable Republicans” who “repeated their opposition to [the bill’s] cuts to Medicaid.”

‘Winners and losers’

The Medicaid cuts aren’t the only part of the bill that will result in unnecessary deaths. The bill will cut $186 billion from the Supplemental Nutrition Assistance Program (SNAP), a program that helps low-income individuals and families buy food. CBO (5/22/25) estimated that 3.2 million people under the age of 65 will lose food assistance. This contraction is expected to be even more deadly than the healthcare cutbacks: The same researchers from UPenn (7/2/25), along with NYU Langone Health, projected that losing SNAP benefits will result in 93,000 premature deaths between now and 2039.

SNAP cuts were mostly only mentioned alongside Medicaid, if at all (Washington Post, 7/3/25; New York Times, 7/3/25; CNN, 7/4/25). And when they did decide to dedicate a whole article to the singular provision, they rarely ventured beyond the fiscal impacts of such cuts into real, tangible consequences, such as food insecurity, hunger and death. The New York Times (7/1/25) asked “how many people will be affected,” but didn’t bother to ask “how will people be affected?”

What’s more, according to the Center for American Progress (7/7/25), the bill’s repeal of incentives for energy efficiency and improved air quality “will likely lead to 430 avoidable deaths every year by 2030 and 930 by 2035.”

The New York Times (7/3/25), however, analyzed this outcome as a changing landscape with “energy winners and losers.” It described how the bill will eliminate tax credits that have encouraged the electrification of homes and alleviated energy costs for millions of families. Somehow, the “loser” here (and all throughout the article) is the abstract concept of “energy efficiency” and private companies, not actual US families.

Another little-discussed provision in the bill is the funding for the Golden Dome, an anti-missile system named for and modeled on Israel’s Iron Dome. The bill set aside $25 billion for its development, along with another $128 billion for military initiatives like expanding the naval fleet and nuclear arsenal.

Media, though, did little more than report these numbers, when they weren’t ignored entirely (CBS, 7/4/25; CNN, 7/4/25). The New York Times (7/1/25) characterized these measures to strengthen the military/industrial complex as “the least controversial in the legislative package”; they were “meant to entice Republicans to vote for it.” In utterly failing to challenge $153 billion in spending on a military that is currently being deployed to bomb other countries in wars of aggression and to suppress protests against authoritarianism at home, the media manufacture consent for militarism as a necessity and an inevitability.

Ignorance a journalistic fail

The Washington Post’s headline and article (7/3/25) perfectly exemplified the paradox with today’s media—calling out how “The Big Problem With Trump’s Bill [Is That] Many Voters Don’t Know What’s in It.” Yet it tosses in an unsubstantial explanation about how “it deals with tax policy, border security, restocking the military/industrial complex, slashing spending on health and food programs for the poor—as well as many, many other programs.”

By reducing sweeping legislative consequences to vague generalities and by positioning ignorance as a voter issue rather than journalistic failure, media outlets maintain a veneer of critique while sidestepping accountability.

---

Featured image: PBS  depiction (7/30/25) of President Donald Trump signing the reconciliation bill. (photo: Alex Brandon/Pool via Reuters.)