Trump's Big Beautiful Bill did deliver $1 trillion in tax cuts to the top 1% while cutting nearly $1 trillion from Medicaid and ACA subsidies. The bill's healthcare cuts have already left over 5 million Americans without coverage according to advocacy groups tracking enrollment data. Sanders' core claim is accurate — the bill structured massive tax benefits for wealthy Americans while simultaneously shrinking federal healthcare spending, forcing people to lose coverage and face higher premiums. What Sanders doesn't mention: the bill also included some tax cuts for working and middle-class families (tips, overtime, standard deduction increases), though multiple analyses show these benefits are overwhelmed by healthcare losses for lower-income households.