President Trump calls it “One Big Beautiful Bill,” but critics say the latest federal budget will slash more than a trillion dollars from Medicaid over the next decade — cutting coverage for an estimated 12 million people. In San Francisco, more than 250,000 residents rely on Medi-Cal, California’s Medicaid program, along with tens of thousands of caregivers who support them. This episode of Civic from the San Francisco Public Press examines how the bill could affect local patients, long-term care workers, and the city’s healthcare safety net — with voices from those fighting to protect services that are essential to survival.