President Donald Trump signed his massive tax and immigration bill into law on July 4 in a White House ceremony full of patriotic pomp and circumstance. The legislation extends the tax cuts enacted in Trump’s first term and directs hundreds of billions of dollars of new spending to defense and immigration enforcement. To offset those costs, the bill also makes historic cuts to spending on social safety-net programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP). Nonpartisan estimates have said cuts in the bill will cause at least 17 million Americans to lose their health coverage.