Donald Trump released a health care plan amid pressure on affordability.[original] His most sweeping proposals would require action by Congress.[original] The proposals are related to reforms that include cuts to health insurance programs like Medicaid.[1] Congress passed Trump's tax reform, which cuts corporate taxes from 35 percent to 21 percent and extends the 2017 tax cuts.[1] The reform also cuts spending on health and welfare programs, which, according to the independent Congressional Budget Office, will increase the national debt by $3.4 trillion from the current $36.2 trillion over ten years.[1] All Democrats in Congress voted against it, calling it a giveaway to the rich that would leave millions without insurance.[1] The Trump administration is also planning $4 billion in cuts to the National Institutes of Health budget and layoffs at federal health agencies.[2]