The “Big, Beautiful” Betrayal: What Trump’s Healthcare Plan Really Means for Women, Families, and Queer Americans
July 8, 2025
Donald Trump keeps bragging about his “Big, Beautiful Healthcare Bill.”
But behind the catchphrase is a brutal reality: a coordinated attack on Medicaid, one of the few safety nets still protecting millions of Americans—especially women, LGBTQ+ people, disabled individuals, BIPOC communities, and single parents.
Let’s break down what’s really at stake.
🚨 Medicaid: Who It Actually Serves
Far from being some niche program, Medicaid currently covers over 80 million Americans, including:
40% of all U.S. children
Nearly half of all births in the U.S.
1 in 5 women of reproductive age
A majority of long-term care for elderly and disabled Americans
Hundreds of thousands of LGBTQ+ individuals who rely on Medicaid for access to therapy, gender-affirming care, and HIV prevention
If you're a single mom, a queer teen, an aging parent, a working-class artist, a gig worker—this affects you.
💀 What Trump’s “Healthcare Plan” Actually Proposes
1. Work Requirements
Trump’s team wants to force Medicaid recipients to meet strict employment quotas—ignoring the realities of caregiving, disability, or non-traditional work. This hits single mothers, freelancers, and disabled folks the hardest.
2. Block Grants to States
Instead of guaranteed federal funding, states would get a lump sum—and be encouraged to cut “non-essential” services like mental health care, postpartum support, dental coverage, and gender-affirming care.
3. De-funding Access to Reproductive and LGBTQ+ Health
Already, clinics across the U.S. are facing shutdowns after a recent Supreme Court decision (Medina v. Planned Parenthood South Atlantic), paving the way for states to withhold Medicaid funding from clinics that provide abortion or queer-affirming care.
This isn't reform. It's erasure—of the working class, of marginalized communities, of those who can't afford to fight back.
🏥 Meanwhile, Abroad…
While Americans are bracing for cuts, many countries in Europe offer:
Universal healthcare as a human right
Paid parental leave and subsidized childcare
Legal protections for LGBTQ+ individuals and families
Mental health services that don’t bankrupt you
Long-term care systems that don’t rely on unpaid family labor
It’s no surprise more Americans—especially women and queer folks—are actively researching how to relocate. At Exit Project 2025, we’re seeing a surge in downloads of our relocation guides for Germany, Portugal, France, the Netherlands, and Spain.
🧳 Planning Your Exit?
Relocation isn’t running away. It’s choosing dignity over survival mode.
We built Exit Project 2025 because the future being planned by Trump and his allies isn’t just performative—it’s dangerous. Especially for the people who already carry the heaviest loads in society.
Not sure where to go?
Take our 2-minute Relocation Quiz to find out which country best fits your values, lifestyle, and family needs.
→ Explore our relocation guides
→ See what’s possible outside the U.S.
→ And take the first step toward a safer, freer future.
Because healthcare isn’t just a policy issue.