The GOP Circles the Wagons on ACA

The GOP Circles the Wagons on ACA

Author: KFF Health News November 20, 2025 Duration: 44:40
Led by President Donald Trump, Republicans in Congress are solidifying their opposition to extending pandemic-era subsidies for Affordable Care Act plans and seem to be coalescing around giving money directly to consumers to spend on health care.  Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. continues to leave his mark on the agency, with the Centers for Disease Control and Prevention altering its website to suggest childhood vaccines could play a role in causing autism.  Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Avik Roy, a GOP health policy adviser and co-founder and chair of the Foundation for Research on Equal Opportunity.  Visit our website to read a transcript of this episode. Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too:  Julie Rovner: CNBC’s “Cheaper Medicines, Free Beach Trips: U.S. Health Plans Tap Prescriptions That Feds Say Are Illegal,” by Scott Zamost, Paige Tortorelli, and Melissa Lee.   Paige Winfield Cunningham: The Wall Street Journal’s “Medicaid Insurers Promise Lots of Doctors. Good Luck Seeing One,” by Christopher Weaver, Anna Wilde Mathews, and Tom McGinty.   Joanne Kenen: ProPublica’s “What the U.S. Government Is Dismissing That Could Seed a Bird Flu Pandemic,” by Nat Lash.   Shefali Luthra: ProPublica’s “‘Ticking Time Bomb’: A Pregnant Mother Kept Getting Sicker. She Died After She Couldn’t Get an Abortion in Texas,” by Kavitha Surana and Lizzie Presser.  

Ever feel like the latest health policy headlines are written in a language you don't quite speak? What the Health? From KFF Health News translates the whirlwind of Washington into something you can actually use. Hosted by Julie Rovner, the chief Washington correspondent for KFF Health News, this isn't a dry lecture. It's a weekly conversation where Rovner is joined by the journalists from The New York Times, The Washington Post, Politico, and elsewhere who are actually writing the stories. Together, they pull back the curtain on how decisions on Capitol Hill and in federal agencies get made, who they impact, and what they mean for your care and your wallet. You'll hear the inside perspective on everything from drug pricing battles and insurance market shifts to the future of Medicare and the politics of public health. This podcast cuts through the jargon and the spin, offering clarity and context on the forces shaping American healthcare. For anyone trying to understand not just what happened, but why it matters, this is an essential guide to the system. Tune in for smart, accessible analysis that makes sense of the news you need.
Author: Language: English Episodes: 100

What the Health? From KFF Health News
Podcast Episodes
Trump Almost Unveils a Health Plan [not-audio_url] [/not-audio_url]

Duration: 42:54
Just weeks before some tax credits for Affordable Care Act premiums expire, the Trump administration floated a plan to extend the enhanced aid — but it was met with immediate GOP pushback. Meanwhile, health secretary Rob…
The Government Is Open [not-audio_url] [/not-audio_url]

Duration: 31:17
The record-long federal shutdown is over after a small group of Democrats agreed to a deal with most Republicans that funds the government through January — but, notably, does not extend more generous Affordable Care Act…
The State of the Affordable Care Act [not-audio_url] [/not-audio_url]

Duration: 35:54
November 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year history. It remains u…
Happy Open Enrollment Eve! [not-audio_url] [/not-audio_url]

Duration: 33:55
A standoff in Congress is keeping much of the federal government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats have refused to vote on spending until Republicans agree to ext…
Nutrition Programs Face Their Own Shutdown [not-audio_url] [/not-audio_url]

Duration: 37:05
Two major nutrition programs — supporting low-income families, as well as young children and pregnant or breastfeeding women — are likely to exhaust their funding in November, and the furloughs and firings at the Centers…
Schrödinger’s Government Shutdown [not-audio_url] [/not-audio_url]

Duration: 38:56
Democrats and Republicans remain stalled over funding the federal government as Republicans launch a new attack on the Affordable Care Act. Meanwhile, the Trump administration is taking advantage of the shutdown to lay o…
Starting To Feel the Shutdown’s Bite [not-audio_url] [/not-audio_url]

Duration: 40:54
The government shutdown continues with no obvious end in sight, and while it theoretically should not affect entitlement programs like Medicare and Medicaid, the lapse of some related authorizations — like for Medicare t…
Democrats Make This Shutdown About the ACA [not-audio_url] [/not-audio_url]

Duration: 35:59
As long predicted, much of the federal government shut down Oct. 1 after Congress failed to pass required spending bills, with Democrats demanding Republicans renew the expiring Affordable Care Act subsidies in exchange…
Public Health Further Politicized Under the Threat of More Firings [not-audio_url] [/not-audio_url]

Duration: 40:01
In a rambling news conference that shocked public health experts, President Donald Trump this week — without scientific evidence — blamed the over-the-counter drug acetaminophen, and too many childhood vaccines, for the…
Ousted CDC Officials Clap Back at RFK Jr. [not-audio_url] [/not-audio_url]

Duration: 46:37
The recently fired head of the Centers for Disease Control and Prevention told senators that health secretary Robert F. Kennedy Jr. ordered her to fire top officials and agree to approve changes to national vaccine recom…