Republicans, controlling Congress and the White House, passed a huge tax and spending bill—making Trump-era tax cuts permanent and adding new ones, while slashing $1.2 trillion from Medicaid and food stamps. The bill is projected to add $3.3 trillion to the deficit and leave 12 million more Americans uninsured. The move has triggered a fierce split within the Republican Party, even as Democrats were shut out of the process. All this comes amid a deadly Texas flood and tense Middle East diplomacy.