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The Government Is Open

Episode 422

Nov. 13, 2025

The record-long federal shutdown is over after a small group of Democrats agreed to a deal with most Republicans that funds the government through January — but, notably, does not extend more generous Affordable Care Act tax credits. Plus, new details are emerging about how the Trump administration is using the Medicaid program to advance its policy goals. Anna Edney of Bloomberg News, Shefali Luthra of The 19th, and Sandhya Raman of CQ Roll Call join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews KFF Health News’ Julie Appleby, who wrote the latest “Bill of the Month” feature.

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A photo of a husband and wife on a refrigerator magnet.

‘They Don’t Return Home’: Cities Across US Fail To Curb Traffic Deaths

Los Angeles, San Francisco, and Houston reported more traffic fatalities than homicides last year. Despite local, state, and federal safety initiatives, such as Vision Zero, traffic deaths across the U.S. are higher than they were a decade ago.

By Chaseedaw Giles

Nov. 13, 2025

A person sitting on a bed, their head in their hands, backlit by a window

ICE Crackdown Heightens Barriers for Immigrant Domestic Violence Victims

Immigrant victims of domestic violence have long encountered hurdles when seeking help from police and courts. The Trump administration’s immigration crackdown has made victims without legal status even more afraid to report abuse, advocacy groups say.

By Cheryl Platzman Weinstock

Nov. 13, 2025

Letters to the Editor

Readers Take Congress to Task and Offer Their Own Health Policy Fixes

KFF Health News gives readers a chance to comment on a recent batch of stories.

Nov. 12, 2025

An Arm and a Leg

A Few Good Things From 2025 (Really)

Season 14, Episode 4

Nov. 12, 2025

Good news for health care access this year includes new state laws to rein in prior authorization and medical debt collectors.

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A surreal illustration showing a senior figure breathing in swirling polluted air.

The New Old Age

What the Air You Breathe May Be Doing to Your Brain

Studies increasingly find links between higher concentrations of certain pollutants and the prevalence of dementia.

By Paula Span

Nov. 12, 2025

A woman stands beside a ballot box, smiling.

Health Care Costs Jump to the Fore as Candidates Jockey To Be California Governor

During a California gubernatorial debate, candidates promised to protect people’s access to health care and fight back against Trump administration cuts. With the contest a year away, polling shows voters want the next governor to minimize out-of-pocket health care costs, increase mental health care, and expand caregiving services.

By Claudia Boyd-Barrett

Nov. 10, 2025

Shutdown Has Highlighted Washington’s Retreat From Big Ideas on Health Care

As voters feel financial pressure from runaway health care costs and crave innovations that would provide relief, the standoff in Congress has been firmly rooted in the status quo — keeping an existing provision of the Affordable Care Act alive.

By Stephanie Armour

Nov. 10, 2025

An illustration shows two businessmen shaking hands. Each stands on an arrow pointing upward, meeting in the middle.

As Health Companies Get Bigger, So Do the Bills. It’s Unclear if Trump’s Team Will Intervene.

As health systems, doctor groups, and insurers merge into ever-bigger giants, patient care gets more expensive. Yet the Trump administration has sent mixed signals about its willingness to intervene — and shown some disdain for Biden officials’ more aggressive approach.

By Elisabeth Rosenthal

Nov. 10, 2025

KFF Health News On Air

Journalists Shed Light on Opioid Settlement Cash, New Medicaid Work Requirements

KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.

Nov. 8, 2025

The Week in Brief

Narcan, Drones, and Concerts: How Governments Spent Opioid Settlement Windfalls

Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.

By Aneri Pattani

Nov. 7, 2025

A photo of a panel on a stage. Mehmet Oz, Marty Makary, and Esther Krofah are seated, speaking to each other.

Rural Health Payout

Concerns Over Fairness, Access Rise as States Compete for Slice of $50B Rural Health Fund

Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.

By Sarah Jane Tribble and Arielle Zionts

Nov. 7, 2025

Wielding Obscure Budget Tools, Trump’s ‘Reaper’ Vought Sows Turmoil in Public Health

Through shrouded bureaucratic maneuvers, White House budget director Russell Vought and DOGE have quietly upended outbreak response, HIV treatment, and dementia care in communities across America.

By Amy Maxmen

Nov. 7, 2025

A photo of a sign that reads "Visa Applicants."

Immigrants With Health Conditions May Be Denied Visas Under New Trump Administration Guidance

The Trump administration has directed visa officers to consider common health ailments, including obesity and diabetes, when would-be immigrants seek visas to enter the U.S.

By Amanda Seitz

Nov. 6, 2025

What the Health? From KFF Health News

The State of the Affordable Care Act

Episode 421

Nov. 6, 2025

Nov. 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year history. It remains unclear, even at this late date, whether expanded tax credits launched during the pandemic in 2021 will be continued or allowed to expire, exposing millions of Americans to much higher out-of-pocket costs. In this special episode of “What the Health?” from KFF Health News and WAMU, host Julie Rovner interviews KFF vice president Cynthia Cox about the past, present, and possible future of the health law and how those who purchase ACA coverage should proceed during this time of uncertainty.

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A photo of a man at an orchard picking persimmons from a tree.

Farmers, Barbers, and GOP Lawmakers Grapple With the Fate of ACA Tax Credits

Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.

By Amanda Seitz

Nov. 6, 2025

A red emergency sign on the side of a building

White House Calls This 9/11-Era Fund ‘Wasteful.’ Red and Blue States Rely on It.

States from California to Texas say they rely on tens of millions in federal funding to help them prepare for the next pandemic, cyberattack, or mass-casualty catastrophe. The Trump administration wants to cut it.

By Don Thompson

Nov. 6, 2025

An Arm and a Leg

This Health Economist Wants Your Medical Bills

Season 14, Episode 3

Nov. 5, 2025

A longtime health economist sets her sights on lowering Americans’ insurance premiums.

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A vector illustration of a woman standing a bit hunched over in the middle of the frame while three dashed-line outlines of hands point at her.

While Politicos Dispense Blame, These Doctors Aim To Take Shame Out of Medicine

Clinicians and researchers are starting to embrace an effort to develop what’s known as “shame competence” in physicians to combat burnout and prevent that uncomfortable emotion from being passed along to patients.

By Charlotte Huff

Nov. 5, 2025