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The GOP Still Can’t Agree on a Health Plan

December 9, 2025 Posted by Industry Expert Podcasts

The Senate is scheduled to vote in the coming days on a Democrat-led plan to extend the temporary additional subsidies that have lowered out-of-pocket costs for Affordable Care Act health plans. But even with the vote approaching, Republicans in the House and Senate are divided over what, if any, alternative plan they should offer.

Meanwhile, anti-vaccine forces at the Centers for Disease Control and Prevention and the Food and Drug Administration have both agencies in disarray.

This week’s panelists are Julie Rovner of KFF Health News, Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Alice Miranda Ollstein of Politico.

Among the takeaways from this week’s episode:

  • Republican lawmakers are struggling to reach consensus on a health care plan as the Senate prepares to vote on the fate of enhanced ACA premium subsidies. Many broadly oppose Obamacare and argue Democrats deserve the blame for the rising cost of health care, while some Republicans facing tough reelection fights next year are advocating for renewing the more generous subsidies. New polling shows that even most supporters of President Donald Trump favor keeping the subsidies.
  • It’s not just ACA plan-holders who are learning their out-of-pocket costs will rise next year. Premium payments for those who rely on the Federal Employee Health Benefits Program are going up again, with those plans among the many reporting out-of-pocket cost increases.
  • The federal Advisory Committee on Immunization Practices is meeting this week. Earlier this year, Health and Human Services Secretary Robert F. Kennedy Jr. replaced the panel’s members, adding noted vaccine critics. At this meeting, the panel is discussing past recommendations on the birth dose of the hepatitis B vaccine and on the childhood vaccine schedule.

Also this week, Rovner interviews Aneri Pattani of KFF Health News about her project tracking the distribution of $50 billion in opioid legal-settlement payments.

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’ “These Hospitals Figured Out How To Slash C-Section Rates,” by Sarah Kliff and Bianca Pallaro.

Joanne Kenen: Wired’s “A Fentanyl Vaccine Is About To Get Its First Major Test,” by Emily Mullin.

Paige Winfield Cunningham: The New York Times’ “A Smartphone Before Age 12 Could Carry Health Risks, Study Says,” by Catherine Pearson.

Alice Miranda Ollstein: The Independent’s “Miscarriages, Infections, Neglect: The Pregnant Women Detained by ICE,” by Kelly Rissman.

Also mentioned in this week’s podcast:

  • Politico’s “Why Republicans Aren’t Eager To Cut an Obamacare Deal,” by Alice Miranda Ollstein and Robert King.
  • KFF’s “2025 KFF Marketplace Enrollees Survey,” by Lunna Lopes, Grace Sparks, Mardet Mulugeta, Isabelle Valdes, and Ashley Kirzinger.
  • KFF Health News’ “After Shutdown, Federal Employees Face New Uncertainty: Affording Health Insurance,” by Phil Galewitz.
  • The Washington Post’s “Why Health Savings Accounts Aren’t the Fix Republicans Hope For,” by Paige Winfield Cunningham.
  • KFF Health News’ “Trump Wants Americans To Make More Babies. Critics Say His Policies Won’t Help Raise Them.” By Stephanie Armour and Amanda Seitz.

Click here to find all our podcasts.

And subscribe to “What the Health? From KFF Health News” on Apple Podcasts, Spotify, the NPR app, YouTube, Pocket Casts, or wherever you listen to podcasts.

This is original content from KFF Health News a nonprofit news service covering health issues. It is an editorially independent program of KFF (Kaiser Family Foundation), which is not affiliated with Kaiser Permanente.

Tags: CDCFDAKFF Health NewsMedicaidopioid crisisVaccinesWhat the Health?

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