Consider This from NPR Folgen

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.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.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

A number of Supreme Court decisions handed down this term have expanded the power of the president while limiting the power of the courts. How has this term changed the relationship of the judicial and the executive branches?NPR's Scott Detrow speaks with Greg Stohr from Bloomberg about what we've learned about the makeup and direction of the court from this year's rulings. 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. Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy