The nonpartisan Congressional Budget Office (CBO) reported that the federal budget deficits resulting from President Donald Trump’s tax and spending legislation, referred to by some as the "Big Beautiful Bill" or "Big Ugly Bill," could lead to automatic cuts to Medicare if Congress fails to intervene. The CBO estimates that Medicare could face reductions totaling approximately $491 billion to $536 billion over the next decade. Critics highlight that these cuts are intended to offset tax giveaways benefiting the wealthiest Americans. Additionally, the legislation includes a rural hospital fund that does not necessarily guarantee support for rural hospitals, as some large urban hospitals have obtained dual classification to access rural Medicare benefits without providing rural care. The law has also been linked to rising costs for everyday essentials, including a 7.3% increase in back-to-school supplies and surging grocery prices, which disproportionately affect low-income Americans. Furthermore, the legislation is projected to result in 15 million Americans losing health insurance coverage. While the law imposes these financial pressures, it is noted that corporations like Amazon are expected to benefit, with an estimated $16 billion in additional revenue this year.