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

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What is the main topic discussed in this episode?

Shumita Basu 0:05
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.
Shumita Basu 0:34
But first, as soon as today, the House looks set to approve a deal that would finally reopen the government. 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. 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.
Hakeem Jeffries 1:15
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.
Shumita Basu 1:25
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.
Unknown 1:43
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.
Shumita Basu 2:03
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. 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.
Unknown 2:41
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.
Shumita Basu 3:04
President Trump has endorsed this idea, so much so that he suggested putting his own name on it in a Fox News interview on Monday.
Donald Trump 3:12
Everybody's going to be happy. They're going to feel like entrepreneurs. They're actually able to go out and negotiate their own health insurance. And they can use it only for that reason. That's only for that purpose. And if we did that, that would be so exciting. Call it Trumpcare. Call it whatever you want to call it.
Shumita Basu 3:29
But Lee Hill said even some of his loyal supporters are skeptical of that plan.
Unknown 3:34
they're quite skeptical that that would be enough, basically, for the reforms that they're seeking and also that that would actually...

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

Unknown 3:44
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.
Shumita Basu 4:00
The Congressional Budget Office estimates that two million Americans will lose health insurance altogether next year if subsidies expire.
Shumita Basu 4:17
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. 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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