The costs of banning gender-affirming care
Marketplace All-in-One
Marketplace
4.5 • 1.4K Ratings
🗓️ 29 January 2026
⏱️ 7 minutes
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Summary
Last year, President Donald Trump issued an executive order aimed at ending gender-affirming care for transgender children and teenagers under 19. Since then, the Department of Health and Human Services proposed a new rule that would ban hospitals offering that care from receiving Medicaid and Medicare funding. The attacks on transition-related care are having a profound effect on transgender kids and their families, but they’re also having an impact on health care providers. Today, we'll hear more. But first: progress on a deal to avoid a partial government shutdown.
Transcript
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| 0:00.0 | We're on government shutdown watch with the deadline less than two days away. |
| 0:06.7 | I'm David Brancaccio in Los Angeles. Published reports today suggest that Democrats and President Trump are moving closer to a deal to avert a partial government shutdown starting the stroke of midnight Friday to Saturday. |
| 0:19.2 | Democrats are pushing reforms for immigration enforcement. |
| 0:22.8 | Marketplaces Nancy Marshall-Gensur has an update. |
| 0:25.5 | The final six spending bills needed to fund the federal government are packaged into one big |
| 0:30.4 | measure. One of those bills would fund the Department of Homeland Security, which includes ICE. |
| 0:36.1 | In his speech on the Senate floor yesterday, Senate Democratic |
| 0:39.1 | Leader Chuck Schumer called on Republicans to split off the DHS bill so the Senate can pass |
| 0:44.6 | the other five spending bills and send them on to President Trump for his signature. |
| 0:49.3 | The New York Times is reporting that Schumer and Trump are talking about a deal that would |
| 0:53.6 | separate the DHS bill |
| 0:55.2 | as Schumer requested. Then the Times says Congress would vote on a short-term extension for DHS. |
| 1:01.2 | That would allow time for more negotiations on changes Democrats want for ICE. Among them, |
| 1:06.7 | ICE agents couldn't wear masks and would have to wear body cameras. They would also have to stop |
| 1:12.0 | making arrests and entering homes without warrants. But all these changes would also have to be approved |
| 1:17.5 | by the House. I'm Nidzee Marshall Genser for Marketplace. Let's do the numbers. Up music. S&P and |
| 1:25.1 | NASDAQ futures are up by less than a 10th percent. Dow futures are up half a percent at this point. The 10-year interest rate steady this morning so far, 4.25% after the Federal Reserve yesterday. No surprise, decided to keep its interest rate steady. Fed Chair Powell seemed in no rush to lower rates anytime soon, given tentative signs that the U.S. economy may be healing. |
| 1:46.3 | Crude oil traded in New York is up 2.2 percent to around 6450 a barrel now. |
| 1:52.0 | But the European price, Brent crude, got very close to $70 a barrel for the first time since September, |
| 1:58.8 | this after President Trump told Iran to make a nuclear deal or face military strikes. |
| 2:30.0 | Now to the many effects of President Trump's executive order from a year ago aimed at ending gender-affirming care for transgender people under the age of 19. |
| 2:34.1 | The administration has since launched investigations of several hospitals. |
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