Strib Voices publishes a mix of commentary online and in print each day. To contribute, click here. ••• One of the most difficult moments in my dad’s long and losing battle with Parkinson’s disease is how suddenly his care needs escalated.

The “Big Beautiful Bill," as Trump has called it, includes a $1 trillion reduction in spending over the next decade for Medicaid, the government insurance program for low-income Americans. Trump signed the bill on July 4.

The Center for American Progress and The Arc break down the One Big Beautiful Bill Act, exposing how its deep cuts to Medicaid and Medicare will lead to benefit losses, increased paperwork requirements,