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The NPR Politics Podcast

The Health Insurance Fight Fueling The Government Shutdown

The NPR Politics Podcast

NPR

Politics, Daily News, News

4.524.9K Ratings

🗓️ 21 October 2025

⏱️ 19 minutes

🧾️ Download transcript

Summary

At the heart of the federal government shutdown is a fight on Capitol Hill over health insurance subsidies. We discuss the likely impact of not extending those subsidies past their expiration at the end of the year, plus how the government shutdown is forcing some family planning clinics to close.

This episode: White House correspondent Deepa Shivaram, health policy correspondent Selena Simmons-Duffin, and congressional correspondent Barbara Sprunt.

This podcast was produced by Casey Morell & Bria Suggs, and edited by Rachel Baye.

Our executive producer is Muthoni Muturi.

Listen to every episode of the NPR Politics Podcast sponsor-free, unlock access to bonus episodes with more from the NPR Politics team, and support public media when you sign up for The NPR Politics Podcast+ at plus.npr.org/politics.

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Transcript

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You have so many podcast listeners who are like global, fun, trekking traveler people.

1:22.6

That sounds really nice. Can I explore the wilderness with you?

1:45.3

How do we get out there, too? Hey there, it's the NPR Politics Podcast. I'm Dupa Shivaram. I cover the White House. I'm Barbara Sprint coming from the wilderness of Capitol Hill. And NPR health policy correspondent, Selena Simmons-Duffin, is here with us today. Hey, Selena. Hi, Deepa. Okay, so today on the show, we are on day 21 of the federal government shutdown, and we're digging into the health care issue at the center of the fight over reopening the government. So Barbara, you're in

1:50.2

the wilderness of Capitol Hill. How is health policy fueling this shutdown fight where you are?

1:57.1

Well, let's start with the politics of this. If we can all cast our minds back to March of this year, which feels like forever ago, actually wasn't that long ago, you'll remember that's when Senate Minority Leader Chuck Schumer provided a key Democratic vote that Republicans needed to advance a spending bill. Deja vu, kind of. And I was with House Democrats at a retreat at that time, and there was so much outrage.

2:18.6

You know, Senate Democrats, a majority of House Democrats, really wanted to use that shutdown

2:22.8

possibility as leverage, you know, arguing it's one of the few opportunities that they have as a

2:27.8

party in the minority. This time around, Senate and House Democrats have been unified in not

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