By Sarah Jaffe for In These Times - Just from the big picture perspective, what are some of the things it is doing? Well, on the one hand, it is cutting programs. There is a major cut in Medicaid. Over 10 years, we are talking about greater than $800 billion dollars in Medicaid cuts. That is about a quarter of federal spending. That is going to throw millions of people off of Medicaid. As you know, Medicaid is a program for lower income people that covers a lot of Americans. More than 70 million. That is one thing. The second thing is it is going to weaken the subsidies that people use to buy health plans on the marketplaces, the so-called “Obamacare” plans. Those are still going to be around—the private insurance industry will still be subsidized—but those subsidies are going to be worse, they are going to be more regressive, and they are going to be less adequate for many folks. That is one side of the ledger. On the other side of the ledger there's just a huge redistribution of wealth upwards. Essentially, it gets rid of a variety of taxes that the Affordable Care Act put in place, and that is almost entirely going to benefit the very wealthy.