Karl Rove predicted the Big Beautiful Bill will significantly influence the 2026 midterms. Despite 59% of Americans viewing the legislation negatively, Rove termed its passage an extraordinary achievement. He stressed the need for President Trump to clearly communicate the bill's merits, as well as for Republicans to take an offensive approach. Rove pointed out that changes to Medicaid could result in coverage losses for many. He suggested that the GOP should ensure the program serves its intended vulnerable populations, moving beyond mere passage to active implementation and advocacy.
Karl Rove emphasized the necessity for Republicans to actively promote the Big Beautiful Bill, stating that passing it is only the beginning of their responsibilities.
Rove highlighted that as Medicaid changes take effect, many may lose coverage, urging that Republicans must be proactive and demonstrate accountability towards voter expectations.
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