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Post Reports

The health care debate behind the government shutdown

Post Reports

The Washington Post

Daily News, Politics, News

4.45.1K Ratings

🗓️ 1 October 2025

⏱️ 20 minutes

🧾️ Download transcript

Summary

The effects of the government shutdown – which started early Wednesday morning – are already being felt. Some national parks are closed, federal job training is suspended, and large swaths of the federal workforce have been furloughed. One major debate led to the shutdown: a fundamental disagreement over health care policy.

Today on Post Reports, national health reporter Paige Winfield Cunningham joins host Elahe Izadi to break down the ins and outs of the health care policy fight that Democrats used to force a government shutdown. 

Today’s show was produced by Rennie Svirnovskiy. with help from Lucas Trevor. It was edited by Ariel Plotnick and mixed by Sean Carter. Thanks also to Fenit Nirappil.

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Transcript

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0:00.0

At Constellation, we bring the energy powering America's growing economy every minute, every day.

0:07.0

As the nation's largest producer of clean and reliable American-made energy,

0:12.0

Constellation is wherever you are, from families to corner stores to manufacturers to the biggest data centers.

0:19.3

We meet the nation's energy needs by generating

0:22.5

emissions-free electricity today and for our future. At 12.01 a.m. this morning, the federal

0:32.1

government shut down. This happened after Democrats and Congress failed to reach a deal with Republicans to extend funding for federal agencies.

0:43.8

The shutdown has had immediate impacts.

0:46.9

Some national parks are closed.

0:49.5

Agencies that handle things like small business loans, veteran job training, and federal research are also closed.

0:58.8

But some fundamental services will continue.

1:01.5

Your mail will still get delivered.

1:04.0

Social security checks will still be issued.

1:07.2

Our colleagues at the Washington Post are tracking all of the shutdown effects, including whether federal workers could lose their jobs.

1:15.5

Just last week, President Donald Trump warned that he might fire employees during a shutdown.

1:21.6

But today, we want to focus our attention on the policy debate at the heart of the shutdown.

1:27.7

And it's about health care.

1:31.8

From the newsroom of the Washington Post, this is Post reports.

1:36.5

I'm Ella He Izadie. It's Wednesday, October 1st.

1:41.0

Today, National Health Reporter Paige Winfield Cunningham joins me to talk through the

1:46.3

ins and outs of this debate about health care subsidies and Medicaid funding. She'll talk about

1:52.3

why the government shut down over that funding and what this fight could mean for your wallet.

2:03.2

Hi, Paige. Thanks so much for joining me today.

...

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