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Apple News Today

The shutdown is nearly over. The fight over health care isn’t.

12 Nov 2025

Transcription

Chapter 1: What is the main topic discussed in this episode?

5.077 - 39.725 Shumita Basu

Good morning. It's Wednesday, November 12th. I'm Shamita Basu. This is Apple News Today. On today's show, why the U.S. is skipping the climate event of the year, Trump sends the world's largest military aircraft carrier to the Caribbean, and how 2025 became a bad year for measles. But first, as soon as today, the House looks set to approve a deal that would finally reopen the government.

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40.145 - 61.51 Shumita Basu

It would fund much of the government through the end of January and provide some funding for other agencies through the end of next September. The record-breaking shutdown has brought real hardship for millions of Americans as both parties waited for the other to blink. The agreement does not include anything on health care subsidies, the key issue that most Democrats were holding out for.

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61.675 - 74.858 Shumita Basu

Right now, the COVID-era subsidies for those on Affordable Care Act plans are set to expire at the end of the year, and it's not clear what happens after that. Yesterday, Minority Leader Hakeem Jeffries told CNN it wasn't over.

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75.293 - 84.785 Hakeem Jeffries

This fight continues. And over the last several weeks, we have successfully elevated this health care issue such that the American people are demanding action.

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85.486 - 102.448 Shumita Basu

Senate Majority Leader John Thune promised a vote on a health care bill of Democrats choosing by mid-December, but the odds are stacked against it. And Meredith Lee Hill, senior Congress reporter for Politico, told us there's little time left to make an impact for people bearing the brunt of increased costs.

103.087 - 123.475 Unknown

That's obviously only a few weeks with the Thanksgiving holiday in there for lawmakers to hash out what is going to be some really intense and complicated health care plans and try to figure out either a bipartisan way forward or Republicans will have to figure out their own plans later.

123.455 - 145.851 Shumita Basu

People enrolled in health insurance plans on the ACA marketplace are seeing skyrocketing premiums for the coming year, and many are now faced with a choice of whether to re-enroll or go without health insurance. Extending the subsidies would cost roughly $23 billion next year, according to the Congressional Budget Office, and many Republicans are reluctant to sign on to that.

145.831 - 160.6 Shumita Basu

So far, House Speaker Mike Johnson has not promised a vote on the subsidies extension, and many House fiscal hawks reject it on cost grounds. Some Republicans, like Senator Bill Cassidy, have talked about a different approach to allocating that same spending.

161.187 - 184.393 Unknown

they effectively want to swap out those subsidies for something else. And what they've been talking about a lot is either creating new health savings accounts or similarly flexible spending accounts, which would effectively be taking money that otherwise would have been spent on health insurers for these subsidies and giving it directly to people.

Chapter 2: What are the implications of the government shutdown on health care subsidies?

224.35 - 239.654 Unknown

be able to be cobbled together in time and be an effective replacement for the current system if these subsidies aren't extended would really hurt a lot of Trump voters, a lot of people in deep red districts who rely on Obamacare at this point.

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240.255 - 270.314 Shumita Basu

The Congressional Budget Office estimates that two million Americans will lose health insurance altogether next year if subsidies expire. Thousands of delegates have descended on the city of Belém, Brazil, at the mouth of the Amazon River as this year's global climate gathering, COP30, gets underway. Some 33 years ago, President George H.W.

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270.334 - 278.286 Shumita Basu

Bush was in the same country celebrating a treaty that would make these COP gatherings, short for Conference of the Parties, a yearly tradition.

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278.924 - 291.415 Unknown

Let's face it, there has been some criticism of the United States, but I must tell you, we come to Rio proud of what we have accomplished and committed to extending the record on American leadership on the environment.

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292.019 - 308.782 Shumita Basu

Today's Republican president has positioned the party in a very different place. And this year, for the first time, there will be no official U.S. presence. President Trump has been openly dismissive of the very science behind climate change. He said as much during a speech at the U.N. General Assembly earlier this year.

308.842 - 329.383 Donald Trump

It's the greatest con job ever perpetrated on the world, in my opinion. Climate change, no matter what happens, you're involved in that. No more global warming, no more global cooling. All of these predictions made by the United Nations and many others, often for bad reasons, were wrong.

329.836 - 351.806 Shumita Basu

Back in 2017, he withdrew the United States from the Paris Agreement, and this term he has been more aggressive in lobbying other countries to abandon environmental initiatives that the White House says risk limiting the American economy. Elizabeth Colbert, staff writer at The New Yorker and author of Life on a Little-Known Planet, spoke to us about the consequences of the U.S.

351.786 - 353.869 Shumita Basu

's retreat from its role here.

353.849 - 377.779 Elizabeth Kolbert

The U.S. is the biggest emitter on a historical basis. It's the second biggest emitter on sort of an annual basis, right behind China. And when you have the world's biggest economy and one of its biggest emitters just throwing up its hands, it's really hard to keep the momentum going. And I think you're really going to see that at this COP, that other countries are going to say, if the U.S.

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