For generations, West Virginians have worked hard, paid their dues and counted on Medicare to be there when they needed it. It’s not a handout, it’s a promise earned through a lifetime of work. But that promise is now under serious threat.

Buried deep inside the so-called “Big Beautiful Bill” is a dangerous budget gimmick that could slash Medicare by hundreds of billions of dollars over the next decade - hitting West Virginia’s seniors, hospitals and communities hardest.

The danger doesn’t come from a direct vote to cut Medicare — it’s more insidious. Under a rule called “Pay-As-You-Go” (PAYGO), any new law that increases the federal deficit automatically triggers cuts to programs like Medicare unless Congress votes to override them.

The “Big Beautiful Bill” is packed with expensive tax

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