The Republican tax cut mostly affects large corporations and individuals with pass through income. Everyone else will see little change in their taxes.
The House Republican tax plan would mean a reduction in funding for programs that affect seniors and the disabled and cut the medical expense deduction.
Increasingly, federal and state governments are providing assistance to family members caring for seniors. Some of these programs involve direct payment through Medicaid (MassHealth in Massachusetts), such as for personal care attendants or adult foster care.