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KFF Health News' 'What the Health?'
The State of Federal Health Agencies Is Uncertain
The Supreme Court opined for the first time that Trump administration officials may be exceeding their authority to reshape the federal government by refusing to honor completed contracts, even as lower-court judges started blocking efforts to fire workers, freeze funding, and cancel ongoing contracts. Meanwhile, public health officials are alarmed at the Department of Health and Human Services’ public handling of Texas’ widening measles outbreak, particularly the secretary’s less-than-full endorsement of vaccines.
Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University School of Public Health and Politico Magazine, and Stephanie Armour of KFF Health News join KFF Health News’ Julie Rovner to discuss these stories and more.
Visit our website for a transcript of this episode.
Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too:
Julie Rovner: KFF Health News’ “Future of Cancer Coverage for Women Federal Firefighters Uncertain Under Trump,” by Kylie Mohr.
Joanne Kenen: ProPublica’s “How Illinois’ Hands-Off Approach to Homeschooling Leaves Children at Risk,” by Molly Parker and Beth Hundsdorfer, Capitol News Illinois.
Stephanie Armour: The New York Times’ “Organ Transplant System ‘in Chaos’ as Waiting Lists Are Ignored,” by Brian M. Rosenthal, Mark Hansen, and Jeremy White.
Lauren Weber: The Washington Post’s “Amid West Texas Measles Outbreak, Vaccine Resistance Hardens,” by Fenit Nirappil and Elana Gordon.
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398. Bill With Billions in Health Program Cuts Passes House
43:49||Ep. 398After an unusual all-night session, the House narrowly passed a budget reconciliation bill, including billions of dollars in tax cuts for the wealthy, along with billions of dollars in spending cuts to Medicaid, the Affordable Care Act, and the food stamp program. But the Senate is expected to make major changes to the measure before it can go to President Trump for his signature.Meanwhile, the Department of Health and Human Services has made some significant changes affecting the availability of covid-19 vaccines.Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more.Also this week, Rovner interviews University of California-Davis School of Law professor and abortion historian Mary Ziegler about her new book on the past and future of the “personhood” movement aimed at granting legal rights to fetuses and embryos.Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too: Julie Rovner: The Washington Post’s “White House Officials Wanted To Put Federal Workers ‘in Trauma.’ It’s Working,” by William Wan and Hannah Natanson. Alice Miranda Ollstein: NPR’s “Diseases Are Spreading. The CDC Isn’t Warning the Public Like It Was Months Ago,” by Chiara Eisner. Anna Edney: Bloomberg News’ “The Potential Cancer, Health Risks Lurking in One Popular OTC Drug,” by Anna Edney. Sarah Karlin-Smith: The Farmingdale Observer’s “Scientists Have Been Studying Remote Work for Four Years and Have Reached a Very Clear Conclusion: ‘Working From Home Makes Us Happier,’” by Bob Rubila.Presenting: ‘First Opinion Podcast’
27:13|Today we’re sharing something different with you: an episode of the “First Opinion Podcast” from our friends at Stat. In this episode, host and Stat opinion editor Torie Bosch talks to a veterinarian and epidemiologist about what cats have to do with H5N1 bird flu. Every week, Bosch goes in depth with newsmakers and leading experts, such as politicians, researchers, and health care providers. These conversations cover anything from health policy, to using comedy to critique medicine, to the use of AI scribes. If you like this episode, please give the podcast a follow. Learn more about “First Opinion Podcast” here. KFF Health News’ “What the Health?” will be back with a new episode Friday.397. GOP Poised To Cut Billions in Health Benefits
39:47||Ep. 397GOP-controlled House committees approved parts of President Donald Trump’s “one big, beautiful bill” this week, including more than $700 billion in cuts to health programs over the next decade — mostly from Medicaid, which covers people with low incomes or disabilities.Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. testified before Congress for the first time since taking office and told lawmakers that Americans shouldn’t take medical advice from him.Julie Appleby of KFF Health News, Alice Miranda Ollstein of Politico, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more. Visit our website for a transcript of this episode.Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: The New York Times’ “Elizabeth Holmes’s Partner Has a New Blood-Testing Start-Up,” by Rob Copeland. Alice Miranda Ollstein: ProPublica’s “He Became the Face of Georgia’s Medicaid Work Requirement. Now He’s Fed Up With It.” by Margaret Coker, The Current. Julie Appleby: Scientific American’s “How Trump’s National Weather Service Cuts Could Cost Lives,” by Andrea Thompson. Joanne Kenen: The Atlantic’s “Now Is Not the Time To Eat Bagged Lettuce,” by Nicholas Florko.396. Cutting Medicaid Is Hard — Even for the GOP
34:42||Ep. 396Republicans on Capitol Hill are struggling to reach consensus on cutting the Medicaid program as they search for nearly a trillion dollars in savings over the next decade — as many observers predicted.Meanwhile, turmoil continues at the Department of Health and Human Services, with more controversial cuts and personnel moves, including the sudden nomination of Casey Means, an ally of Robert F. Kennedy Jr.’s, to become surgeon general.Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more.Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who co-reported the latest “Bill of the Month” feature, about an unexpected bill for what seemed like preventive care. Visit our website for a transcript of this episode.Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: NPR’s “Fired, Rehired, and Fired Again: Some Federal Workers Find They’re Suddenly Uninsured,” by Andrea Hsu. Maya Goldman: STAT’s “Europe Unveils $565 Million Package To Retain Scientists, and Attract New Ones,” by Andrew Joseph. Anna Edney: Bloomberg News’ “A Former TV Writer Found a Health-Care Loophole That Threatens To Blow Up Obamacare,” by Zachary R. Mider and Zeke Faux. Sandhya Raman: The Louisiana Illuminator’s “In the Deep South, Health Care Fights Echo Civil Rights Battles,” by Anna Claire Vollers.395. 100 Days of Health Policy Upheaval
51:17||Ep. 395Congress is back in Washington this week, and Republicans are struggling to find ways to reduce Medicaid spending without cutting benefits, as the program has grown in popularity and relevance with their voters. Meanwhile, confusion continues to reign at the Department of Health and Human Services as programs are cut, reinstated, and then cut again — often leaving even agency leaders unsure what remains.Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more. Visit our website for a transcript of this episode. Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: KFF Health News’ “As a Diversity Grant Dies, Young Scientists Fear It Will Haunt Their Careers,” by Brett Kelman. Alice Miranda Ollstein: ProPublica’s “Utah Farmers Signed Up for Federally Funded Therapy. Then the Money Stopped,” by Jessica Schreifels, The Salt Lake Tribune. Margot Sanger-Katz: CNBC’s “GLP-1s Can Help Employers Lower Medical Costs in 2 Years, New Study Finds,” by Bertha Coombs. Joanne Kenen: NJ.com’s “Many Nursing Homes Feed Residents on Less Than $10 a Day: ‘That’s Appallingly Low’” and “Inside the ‘Multibillion-Dollar Game’ To Funnel Cash From Nursing Homes to Sister Companies,” by Ted Sherman, Susan K. Livio, and Matthew Miller.394. Can Congress Reconcile Trump’s Wishes With Medicaid’s Needs?
41:57||Ep. 394When Congress returns from spring break next week, its first order of business will be writing a budget reconciliation bill that’s expected to cut taxes but also make deep cuts to Medicaid. But at least some Republicans are concerned about cutting a program that aids so many of their constituents. Also this week, the Supreme Court heard a case that could threaten the availability of no-cost preventive care under the Affordable Care Act.Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these breaking stories and more.Also this week, Rovner interviews KFF Health News’ Rae Ellen Bichell about her story on how care for transgender minors is changing in Colorado. Visit our website for a transcript of this episode.Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: MedPage Today’s “Medical Journals Get Letters From DOJ,” by Kristina Fiore. Alice Miranda Ollstein: The New York Times’ “A Scientist Is Paid to Study Maple Syrup. He’s Also Paid to Promote it,” by Will Evans, Ellen Gabler, and Anjali Tsui. Sarah Karlin-Smith: The Tampa Bay Times’ “Countering DeSantis, $10M Hope Florida Donation Came From Medicaid, Draft Shows,” by Alexandra Glorioso and Lawrence Mower. Tami Luhby: Stat’s “In Ireland, a Global Hub for the Pharma Industry, Trump Tariffs Are a Source of Deep Worry,” by Andrew Joseph.393. On Autism, It’s the Secretary’s Word vs. CDC’s
36:45||Ep. 393Tensions between Robert F. Kennedy Jr. and his employees at the Department of Health and Human Services are mounting, as he made a series of claims about autism this week — contradicting his agency’s findings. Plus, President Donald Trump unveiled an executive order to lower drug prices as his administration explores tariffs that could raise them.Shefali Luthra of The 19th, Jessie Hellmann of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News’ Emmarie Huetteman to discuss these stories and more.Plus, KFF Health News’ Julie Rovner interviews two University of California-San Francisco researchers about an upcoming Supreme Court case that could have major ramifications for preventive care. Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too: Emmarie Huetteman: KFF Health News’ “States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs,” by Sam Whitehead, Phil Galewitz, and Katheryn Houghton. Anna Edney: ProPublica’s “Unsanitary Practices Persist at Baby Formula Factory Whose Shutdown Led to Mass Shortages, Workers Say,” by Heather Vogell. Jessie Hellmann: The Hill’s “Military’s Use of Toxic ‘Forever Chemicals’ Leaves Lasting Scars,” by Sharon Udasin and Rachel Frazin. Shefali Luthra: The 19th’s “Trump’s Push for ‘Beautiful Clean Coal’ Could Lead to More Premature Births,” by Jessica Kutz. Visit our website to read a transcript of this episode.392. The Dismantling of HHS
41:51||Ep. 392A week after the announcement of the reorganization and staff cuts ordered by Health and Human Services Secretary Robert F. Kennedy Jr., the scope of the reductions is only starting to crystallize. Across such agencies as the National Institutes of Health, Centers for Disease Control and Prevention, and FDA, entire divisions have been wiped out, and it is unclear who will be left to enforce hundreds of laws and regulate millions of products. Meanwhile, legislators in a growing number of states are introducing abortion bans that would punish women as well as abortion providers.Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Victoria Knight of Axios join KFF Health News’ Julie Rovner to discuss this enormous breaking story and more. Also this week, Rovner interviews Georgetown Law School professor Stephen Vladeck about the limits of presidential power. Visit our website for a transcript of this episode.Plus, for “extra credit” the panelists suggest health policy stories they read (or wrote) this week that they think you should read, too: Julie Rovner: The New York Times’ “Why the Right Still Embraces Ivermectin,” by Richard Fausset. Victoria Knight: Wired’s “Dr. Oz Pushed for AI Health Care in First Medicare Agency Town Hall,” by Leah Feiger and Steven Levy. Alice Miranda Ollstein: The Guardian’s “‘We Are Failing’: Doctors and Students in the US Look to Mexico for Basic Abortion Training,” by Carter Sherman. Sandhya Raman: CQ Roll Call’s “In Sweden, a Focus on Smokeless Tobacco,” by Sandhya Raman.391. American Health Gets a Pink Slip
41:26||Ep. 391The Department of Health and Human Services underwent an unprecedented purge this week, as thousands of employees from the National Institutes of Health, the FDA, the Centers for Disease Control and Prevention, and other agencies were fired, placed on administrative leave, or offered transfers to far-flung Indian Health Service facilities. Altogether, the layoffs mean the federal government, in a single day, shed hundreds if not thousands of combined years of health and science expertise. Lauren Weber of The Washington Post, Rachel Cohrs Zhang of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss this enormous breaking story and more.Also this week, Rovner interviews KFF Health News’ Julie Appleby, who reported and wrote the latest “Bill of the Month” feature about a short-term health plan and a very expensive colonoscopy. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: Stat’s “Uber for Nursing Is Here — And It’s Not Good for Patients or Nurses,” by Katie J. Wells and Funda Ustek Spilda. Sarah Karlin-Smith: MSNBC’s “Florida Considers Easing Child Labor Laws After Pushing Out Immigrants,” by Ja’han Jones. Lauren Weber: The Atlantic’s “Miscarriage and Motherhood,” by Ashley Parker. Rachel Cohrs Zhang: The Wall Street Journal’s “FDA Punts on Major Covid-19 Vaccine Decision After Ouster of Top Official,” by Liz Essley White. Visit our website to read a transcript of this episode.