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The One Big Beautiful Bill or Just Trumpery? A Closer Look at H.R. 1 and Who It Really Serves

Abby Willroth is a NAADAC-qualified Substance Abuse Professional located in Central Arkansas. "If you have questions pertaining to DOT Alcohol & Drug Testing Regulation, the Role of an SAP or the Return-To-Duty process, ASK A SAP!"
Abby Willroth is a NAADAC-qualified Substance Abuse Professional located in Central Arkansas. "If you have questions pertaining to DOT Alcohol & Drug Testing Regulation, the Role of an SAP or the Return-To-Duty process, ASK A SAP!"

When Congress passed H.R. 1, the One Big Beautiful Bill Act, many in political circles cheered. Some called it bold. Others, transformative. But for millions of working Americans trying to keep a roof over their heads, this bill feels like something else entirely.

It feels like trumpery.


Let’s define that word before we go any further.

Trumpery (noun): Worthless nonsense. Deceitful or showy language or objects with little real value. (Merriam-Webster Dictionary)

The name of the bill may sound promising. “Beautiful,” even. But peel back the layers, and what you find is not policy designed to lift up struggling families. It is a piece of legislation packed with benefits for the wealthy, corporations, and the politically connected—while many working families and middle-income earners quietly brace for what is coming next.


What’s Actually in the Bill?

H.R. 1 is sweeping in scope. It includes:

  • Extension of Trump-era tax cuts for individuals and corporations

  • Work requirements for Medicaid and other federal aid programs

  • Massive increases in defense and border security spending

  • Changes to the SALT (State and Local Tax) deduction, which benefit higher-income households

  • Debt ceiling extension to enable long-term deficit increases, without offsetting measures


In short, it lowers tax burdens on high earners and multinational companies, while tightening restrictions and requirements on public programs that serve low- and moderate-income Americans.


Who Wins?

  • Corporations: Permanent tax reductions and capital gains advantages

  • High earners: Reinstated deductions and estate tax adjustments

  • Defense contractors: Billions in new funding

  • The wealthiest 5 percent: Reap the biggest long-term benefits from changes to tax and investment policy


Who Pays the Price?

  • The working poor: Facing new barriers to Medicaid, housing aid, and SNAP

  • Middle-class families: Squeezed by rising healthcare costs and stagnant wages

  • Rural and underserved communities: At risk of losing federal support for hospitals and health programs

  • Clinicians and service providers: Caught between increasing demand and shrinking reimbursement


For many of us in healthcare and behavioral health, especially those serving Medicaid clients, H.R. 1 is not beautiful. It is alarming.


A Bill That Looks Good on Paper—Until You Read It

The playbook is familiar: brand a massive bill with a flattering title, fill it with provisions that benefit the few, and sell it as a win for the people. But this kind of legislative marketing is exactly what the word trumpery warns us about—flash over substance, promise over policy, and wealth over equity.


Final Thoughts

This bill may be “big” and “beautiful” to its authors and backers. But for working families, low-wage earners, clinicians, educators, and anyone trying to get by—not get rich—it reads like empty politics dressed up as reform.


We owe it to ourselves and our communities to call it what it is. Trumpery.





 
 
 

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