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Hello John,

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As we’ve previously discussed, despite what you might hear on the news, the Medicaid changes in the One Big Beautiful Bill are a much-needed fiscal brake on a program that has grown out of control.

Here are the facts: Federal health programs — including Medicaid — are unsustainable and are the main drivers of our increasing debt (about $37 trillion and counting).

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According to the Congressional Budget Office, Joe Biden’s policy of enrolling as many people in federal health care programs (Medicaid and Obamacare) as possible — even if they didn’t qualify — increased the baseline spending for these programs by a whopping $1.9 trillion over the next decade.

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This chart from our friends at the Paragon Health Institute shows Medicaid and Obamacare spending growth under Biden and the OBBB.

• The light blue line shows spending if these programs had stayed at their historical level.
• The dark blue line shows how the Biden spending spree shifted the spending up dramatically.
• The yellow line shows how the OBBB returns things to normal.

So, as you can see, the OBBB doesn’t cut these programs but returns their growth to the historic norm after years of turning a blind eye to Medicaid enrollees who are not eligible.

It would be great if we could claim victory and move on to other important health care issues. But as the great William Buckley once said, “There are no lost causes because there are no gained causes.”

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In other words, no victory is permanent, and we must fight to keep what we’ve won.

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I brought that up because of this quote from a Politico story: Many of these Medicaid changes will take a couple of years to fully implement. Hospitals “are already gearing up to use the next two and a half years to persuade lawmakers to rescind” them.

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Here’s the bottom line: Even before these reforms are fully implemented, the special interests will try to kill them! And don’t count them out.

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Instead of playing only defense, we need to also go on offense and give the special interests that dominate our rigged health care system other free-market reforms to worry about. That’s why it is so important we keep pushing our Personal Option plan in Congress.

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The word out of D.C. is that Congress may try to pass another reconciliation bill, which would present a fantastic opportunity to pass more parts of the Personal Option.

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This would expand:

• Health savings accounts,
• telehealth,
• and direct primary care even more than the OBBB did.

There is still a LOT more to do, and we need to keep the bloated health care system on the defensive!

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You can help by signing our Personal Option petition, showing Congress that Americans support reforms like HSAs, telehealth, and DPC.

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Please take 60 seconds to sign our petition — every signature we bring to lawmakers strengthens the case for these critical changes.

Thank you for your continued support. Together, we’re ensuring every American has access to the health care solutions they need. Stay tuned for updates on how we’re making impact-driven changes possible.