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“For that reason alone, it’s the most essential piece of legislation currently under consideration in the entire Western World, in generations.”

The nonpartisan Congressional Budget Office released an assessment on Wednesday estimating that the “big, beautiful bill,” which has passed the House and is under consideration in the Senate, would add $2.4 trillion to the national debt over the next decade, and result in 10.9 million Americans losing health insurance coverage over the same period.

The fate of the subsidies is part of a sweeping budget bill currently under consideration by the Senate.

This proposed section of Republicans’ “big, beautiful” bill stops short of the most controversial reforms under consideration, appeasing moderates.

But public consultations, which gather the views of UK citizens on issues under consideration by ministers, can generate tens of thousands of responses.