NPR News: 07-01-2025 3AM EDT

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How will proposed Medicaid cuts affect rural hospitals and low‑income seniors?

Shea Stephens 0:02
Live from MPR News in Washington, I'm Shay Stevens. Senate Republicans are still pushing for final passage of the tax and spending bill containing President Trump's legislative priorities. Democrats have introduced a series of amendments and motions to delay the process. And NPR's Elena Moore reports that they are especially concerned about proposed cuts to Medicaid.
Elena Moore 0:24
We're talking about the joint federal and state health care program for low income elderly and disabled Americans. That's what Medicaid is. A handful of Republicans, particularly those who represent large rural areas, have been hesitant to support big changes to Medicaid. You know, they say it could seriously hurt for one rural hospitals. Um, but at the same time, there's a group of, you know, hard right fiscal conservatives who still want Want to see more cuts to the program because they say it'll help the government just offset the costs of this big bill. You know, Senator uh from Florida, Rick Scott is introducing an amendment that would reduce how much the federal government contributes to individuals on Medicaid expansion, and that could bring in hundreds of millions in savings.
Shea Stephens 1:08
NPR's Elena Moore. Republicans in Congress are considering an even faster phase out of tax credits for electric vehicles than they had previously planned. That's according to the latest version of the Senate's tax and spending plan.

What changes are being considered for federal electric‑vehicle tax credits?

Shea Stephens 1:21
NPR's Camilla Dominoski explains.
Camilla Dominovsky 1:24
The credits are worth up to $4,000 for used EVs or $7,500 for new vehicles. House Republicans voted to phase them out starting at the end of this year. But the Senate suggested a cutoff of September 30th, three months from now. One EV trade group called that a significant step backward that would help China. Republicans have called the tax credits wasteful. Auto dealers, meanwhile, are lobbying to keep the credits. Longer. Despite years of questioning the push toward EVs, the major dealer trade group now says ending credits abruptly would cause confusion and disruption.

How is Europe preparing for the upcoming record‑breaking heat wave?

Camilla Dominovsky 1:59
Camila Dominowski, NPR News.
Shea Stephens 2:01
An early heat wave could bring record highs to parts of Europe this week. NPR's Eleanor Beersley reports that many homes and public buildings on the continent are not air conditioned.
Eleanor Beardsley 2:12
Temperatures will soar over a hundred degrees in much of France by Wednesday. Heat plans have been put in place across the country with emergency services on high alert. In 2003, a similar heat wave caused nearly fifteen thousand excess deaths in France, especially amongst older people living alone. Cool rooms and fountains have been set up in cities across the country for old and young alike. Thousands of schools remain closed Monday amid the dangerous temperatures. Traffic is also being restricted to curb pollution and increased heat.

Why did Philadelphia’s largest municipal‑employees union go on strike?

Shea Stephens 2:55
On Wall Street. You're listening to NPR. For the first time in nearly four decades, Philadelphia's largest municipal employees union is on strike. Roughly nine thousand members of District Council thirty three of the American Federation of State, County and Municipal Employees Walked off their jobs at midnight in a dispute over pay and work rules. City officials say they have made contingency plans for emergency nine one one call centers and set up tracks. Drop off sites. A new study estimates that the U.S. Agency for International Development has helped save tens of millions of lives over the past two decades.

What does the new USAID study reveal about lives saved and future funding cuts?

Shea Stephens 3:35
As NPR's Jonathan Lambert reports, The study is also predicting that millions of preventable deaths Will occur if the funding cuts continue.
Jonathan Lambert 3:44
For decades, USAID has been the biggest government player in foreign aid, funding a range of initiatives from feeding hungry children to distributing HIV drugs. Assessing the total impact of those programs is tricky, but a new study in the Lancet took a comprehensive approach. It found that USAID programs were associated with a fifteen percent reduction in deaths from any cause. That translates to about ninety one million lives saved between two thousand one and twenty twenty one. In March, the Trump administration announced that eighty-three percent of USAID programs would be canceled.

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