Consider This from NPR Folgen

President Trump put essentially his entire domestic agenda in one bill.It would significantly cut clean energy incentives, Medicaid and food assistance programs — and double down on tax cuts, immigration enforcement and national defense.Despite opposition from Democrats, and divides within the Republican Party, it passed through Congress.How did that happen? And what does it mean for American taxpayers? NPR correspondents explain.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.nprth.org.Email us at considerthis@npr.org. To manage podcast ad preferences, review the links below:See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

The massive tax and spending bill central to President Trump's agenda is one step closer to reality.After weeks of negotiations and 49 consecutive votes that started Monday morning, the senate approved President Trump's signature domestic policy bill around lunch time Tuesday. It now goes back to the House of Representatives where Republican Speaker Mike Johnson will have to reconcile the senate changes with his members' competing priorities.Michael Ricci has had a long career in republican politics, including working as Speaker Paul Ryan's communications director and Speaker John Boehner's Chief Speech writer. We talked with him about the stakes, and the bill's prospects in the House.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.To manage podcast ad preferences, review the links below:See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

The massive budget bill that Senate Republicans are debating pays for some of its tax cuts by slashing hundreds of billions of dollars in Medicaid spending. The latest report from the non-partisan Congressional Budget Office estimates nearly 12 million people will lose health insurance if the Senate version of the bill becomes law. Trump insists the cuts come from eliminating waste, fraud and abuse. Democrats have said they break Trump's promise not to touch Medicaid — and over the weekend, Republican Senator Thom Tillis of North Carolina agreed. "What do I tell 663,000 people in two years or three years when President Trump breaks his promise by pushing them off of Medicaid because the funding's not there anymore?" We asked Sarah Jane Tribble, the chief rural correspondent for KFF Health News, what the cuts will mean for rural residents of states like North Carolina — and the hospitals that serve them.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.To manage podcast ad preferences, review the links below:See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy