next year when the Trump tax cuts expire
It's worth repeating again that the middle class Trump tax cuts expire next year. The Trump tax cuts for the wealthy have no expiration date and are permanent.
Also, they're not "Trump" tax cuts but Republican tax cuts, but at this point the distinction doesn't really mean anything anymore since Trump has completely taken over the party.
If the pig option included immune suppression drugs for the rest of your life, or for like 10 years until it wore out and you had to have another major surgery to replace it, mechanical valve plus blood thinners and a yearly blood draw sounds like the much better deal. I know blood thinners come with their own long term effects, but nothing compared to immune suppression.