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December 18, 2025 26 mins

This week, despite a last-ditch effort by some House Republicans to strike a deal on health care, Congress remains deadlocked on whether to extend support for millions of Americans who get their health care through the Affordable Care Act.

Margot Sanger-Katz, who covers health care policy, explains who will be most affected by the decision.

Then, we hear directly from some of the Americans who will now face a decision: whether to keep paying for rising insurance costs or to risk going without it.

Guest: Margot Sanger-Katz, a reporter for The New York Times who covers health care policy and government spending.

Background reading: 

Photo: Eric Lee for The New York Times

For more information on today’s episode, visit nytimes.com/thedaily. Transcripts of each episode will be made available by the next workday. 

Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

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