President Trump's ambitious tax and spending bill has sparked controversy, particularly in healthcare and gambling sectors. With significant Medicaid cuts threatening rural health services and a new tax burden on gamblers,

Covered California, the state's Affordable Care Act health insurance marketplace, estimates that up to 660,000 of the 2 million in the program will be stripped of coverage or drop out.

The passage of President Trump's signature tax cut bill shows how the health care industry's influence is waning.