Democrats are seizing the momentum from President Trump’s new tax-and-spending legislation, especially with the upcoming 2026 midterm elections in mind. Central to their strategy is a focus on Medicaid, which provides essential health insurance to millions. House Minority Leader Hakeem Jeffries labeled the proposed cuts—a staggering nearly $1 trillion—as “cruel” and “dangerous.”
Jeffries emphasized that this bill could represent the largest healthcare cuts in U.S. history, targeting Medicaid and undermining healthcare access for many vulnerable Americans. In his view, this is an outright attack on public health.
Trump maintains a different narrative. He describes the legislation as a pathway to significant economic growth, promising an “economic renaissance” in America. During recent events, he refrained from disguising his disdain for Democrats, claiming they’ll face backlash for opposing his agenda.
Polling suggests the bill is unpopular overall, with many Americans concerned about Medicaid cuts. Surveys indicate that almost 70% of people have either used Medicaid or know someone who has. According to KFF, the program enjoys a favorable rating from 83% of the public, and a vast majority believe funding should either be maintained or increased.
Historical context reveals that healthcare has played a key role in past midterm elections. In 2010, the backlash to the Affordable Care Act led to significant Democratic losses. Yet, over the years, support for the ACA has grown, reaching 66% this year. The dynamics surrounding healthcare could be pivotal in 2026, as voters become increasingly aware of any policy implications.
Despite Trump’s attempts to frame the bill positively, research from the Congressional Budget Office indicates that nearly 12 million individuals could lose their health insurance over the next decade if the legislation passes. This looming threat could shape public opinion as the midterms approach.
On the flip side, both parties face unpopularity. Recent polls show Trump’s approval ratings at 43%, while congressional Republicans sit even lower at 35%. Interestingly, Democrats aren’t faring well either, with only 27% approval. The internal dissatisfaction among Democrats might hinder their chances to regain control, especially if not addressed before the elections.
Ultimately, both parties need to recalibrate. For Democrats, addressing internal strife and rallying support will be crucial. For Republicans, effectively communicating their legislative message—the benefits of the tax cuts versus potential Medicaid losses—will be essential to sway public opinion ahead of the midterms.
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