“A budget is a moral document,” as numerous human rights activists have said over the decades. If that is true, then the so‑called “One Big, Beautiful Bill” represents a grotesque example of the immorality of US leadership in 2025.

It is a budget that slashes Medicare and Medicaid by $930bn over the next decade and could leave as many as 17 million without healthcare insurance. The cuts to the Supplemental Nutrition Assistance Program (SNAP) – a food aid scheme for Americans living in deep poverty – will render about 1 million vulnerable people ineligible for the basic human right of not starving. The US social welfare system – one that President Franklin D Roosevelt and Congress introduced with the Social Security Act of 1935 and President Lyndon B Johnson extended with Medicare and Medicaid in 1965 – is on its way to an emergency room.

This is one of the steepest rollbacks of social welfare programmes in the US since their inception in 1935. Many will attribute it to Project 2025. But the disdain for social welfare in the US has always been present – because the US cannot be the US without millions of Americans who must work on the cheap, so that a select few can hoard wealth and power, and mega-corporations can hoard resources.

That the US has had a mediocre and begrudging social welfare system for the past 90 years is nothing short of a miracle. While much of the Western world and other major empires either established or modernised their social welfare systems in the 19th and early 20th centuries, the US persisted with limited government intervention for citizens. Only radicals within the US labour movement typically advocated a national social welfare policy. Until the Great Depression of the 1930s, only individual states – not the federal........

© Al Jazeera