This article is an edited excerpt from John Holdren’s interview with Bertie Harrison-Broninski for the Land and Climate Podcast, originally broadcast on the 4th July 2025. Listen below: President Trump previously pledged not to cut Medicaid, not to reduce access to health insurance, and not to increase national debt. Now, he has done all the above. His ‘Big Beautiful Bill’, passed on 4th July, is really the ‘Budget-Busting Bill’.