4.7 • 9.2K Ratings
🗓️ 29 October 2025
⏱️ 9 minutes
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| 0:00.0 | NPR. |
| 0:02.0 | We're about a month into the government shutdown, and lawmakers are still at an impasse over health insurance subsidies. |
| 0:18.0 | Democrats say they won't vote to reopen the government unless Republicans |
| 0:22.0 | agree to extend subsidies for people who get health insurance through Obamacare, aka the Affordable |
| 0:28.8 | Care Act. And if these subsidies expire at the end of the year, millions of Americans could see the |
| 0:34.2 | amount they pay for premiums double or more. That's according to the nonpartisan health policy think tank, KFF. |
| 0:40.9 | And this could just be the start of a cascade of consequences. |
| 0:45.0 | Theoretically speaking, a big price hike like this could even lead to something called an adverse selection death spiral. |
| 0:52.8 | How's that first spooky season, econ terminology? |
| 0:56.3 | This is the indicator from Planet Money. |
| 0:58.4 | I'm Adrian Ma. |
| 0:59.8 | And I'm Darren Woods. |
| 1:01.0 | Today on the show, we explain why the specter of a death spiral has haunted Obamacare |
| 1:06.6 | ever since it began. |
| 1:08.4 | And we ask if Congress lets these Obamacare subsidies expire, |
| 1:13.0 | could a death spiral be in its future? |
| 1:20.4 | I want it that way was a Backstreet Boys' banger, |
| 1:23.1 | but was it also a secret economics lesson? |
| 1:25.7 | If you watch the music video, |
| 1:27.3 | you can really see an illustration of the concept of comparative advantage. |
| 1:31.5 | All right. |
| 1:32.0 | In our most recent bonus episode, we compete to see who can pick the most Planet Money song, movie, and more from 1999. |
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